Individual provider Active NPI

Karen Stephanie Canales, DPT

  • Physical Therapist
  • Newark, NJ
National Provider Identifier
1497582308
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02288600 Issued in NJ
Practice address
280 Elm St
Newark, NJ 07105-2604
Phone
(862) 348-9515
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02288600 NJ Primary

Addresses

Primary practice location

280 Elm St
Newark, NJ 07105-2604

Mailing address

PO Box 1102
Mountainside, NJ 07092-0102
Phone (862) 348-9515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260529001887 NJ Practitioner - Physical Therapist in Private Practice 2860962941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Rutgers New Jersey Medical School, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironbound Physical Therapy LLCGroup PAC ID 5799253563, 2 clinicians

Practice addresses (Care Compare)

280 Elm St
Newark, NJ 07105-2604
Phone (862) 348-9515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02288600NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ironbound Physical Therapy & Wellness Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Ironbound Physical Therapy LLC Physical Therapist CurrentSince Mar 1, 2026 Accepting new patients

Locations

280 Elm St
Newark, NJ 07105
Phone (862) 348-9515

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1497582308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1102",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070920102",
            "telephone_number": "862-348-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 ELM ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071052604",
            "telephone_number": "862-348-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "KAREN",
        "middle_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02288600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.

Verify at the official NPI Registry.