Active NPI
Victoria Ione Canary, MPT
- Physical Therapist
- Wallingford, CT
National Provider Identifier
1427347244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01649000
- Practice address
- 900 Northrop Rd
Wallingford, CT 06492-1997 - Phone
- (203) 949-1534
- Fax
- (203) 949-9036
- NPI assigned
- Apr 1, 2011
- Last updated
- Sep 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01649000 | NJ | Primary |
Addresses
Primary practice location
900 Northrop Rd
Wallingford, CT 06492-1997
Mailing address
17 N Main St
Marlboro, NJ 07746-1439
Phone (732) 431-2155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 10TH Ave
Belmar, NJ 07719-2317
Phone (908) 670-6695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Home Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Belmar, NJ
- NPI 1316236664
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1427347244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N MAIN ST",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461439",
"telephone_number": "732-431-2155",
"fax_number": "732-707-3920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 NORTHROP RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921997",
"telephone_number": "203-949-1534",
"fax_number": "203-949-9036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANARY",
"first_name": "VICTORIA",
"middle_name": "IONE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01649000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
- John Peter Calatayud, D.C.
- Calea Services LLC (Always Best Care Senior Services)
- Linda Caliolo, O.D.
- Michele Camerato, PT
- Jenna Marie Nadeau Camerota, LCSW
- Karen Caplan
- Kathryn Bellico Cappiello, APRN
- Paula M. Cappola, M.A., CCC-SLP
- Cardiology Associates of Central Connecticut,LLC
- Carissa Carey, M.S.ED., BCBA, LBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.