Organization Active NPI

Dina Kacandes PT

  • Physical Therapist
  • Marblehead, MA
National Provider Identifier
1407562960
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DINA KACANDES PT
Practice address
50 Doaks LN
Marblehead, MA 01945-3584
Phone
(978) 778-8624
NPI assigned
Jan 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Dina Kacandes
Title
Owner/Physical Therapist
Phone
(617) 429-5283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

50 Doaks LN
Marblehead, MA 01945-3584

Mailing address

16 Pleasant St Unit B
Beverly, MA 01915-4905

National Provider Directory

National Provider Directory

Locations

50 Doaks Ln
Marblehead, MA 01945
Phone (617) 776-2227

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1407562960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 PLEASANT ST UNIT B",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019154905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DOAKS LN",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453584",
            "telephone_number": "978-778-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINA KACANDES PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "KACANDES",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "617-429-5283"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marblehead, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.