NPIMap

Organization Active NPI

C O R E Physical Therapy Centers

  • Specialist
  • Malden, MA
National Provider Identifier
1386865855
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11243 Issued in MA
Legal business name
C O R E PHYSICAL THERAPY CENTERS
Practice address
388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone
(781) 388-0012
Fax
(781) 388-3312
NPI assigned
May 1, 2007
Last updated
Apr 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Elizabeth Jean Canoni, PT,DPT,MSNPI 1689664898
Title
Owner
Phone
(781) 388-0012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11243 MA Primary

Addresses

Primary practice location

388 Pleasant St
Suite 305
Malden, MA 02148-8143

Mailing address

388 Pleasant St
Suite 305
Malden, MA 02148-8143
Phone (781) 388-0012

Other names 1

  • Canoni Corp Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1386865855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST",
            "address_2": "SUITE 305",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-388-0012",
            "fax_number": "781-388-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST",
            "address_2": "SUITE 305",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-388-0012",
            "fax_number": "781-388-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C O R E PHYSICAL THERAPY CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "CANONI",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-388-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canoni Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.