Kirk A Canada, P.T. , D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3111840 Issued in TX

Practice address

1717 Pine St
Abilene, TX 79601-3043

Phone

(325) 676-5633

Fax

(325) 676-8831

NPI assigned

Jul 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Action Chiropractic Clinic PLLC

  • Chiropractor
  • Abilene, TX
  • NPI 1639473614
  NPD (past)
• Kevin Cole Mitchell

  • Durable Medical Equipment & Medical Supplies
  • Abilene, TX
  • NPI 1326343922
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1578828182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-676-5633",
            "fax_number": "325-676-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013043",
            "telephone_number": "325-676-5633",
            "fax_number": "325-676-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADA",
        "first_name": "KIRK",
        "middle_name": "A",
        "credential": "P.T. , D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3111840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Sue Campbell, COTA
• Lori Michelle Campbell, PHARMD
• Jaci Rae Campo, DDS
• Crystal Canada, SLP
• Kenadee Canada, FNP-C
• Daniel G Canario, M.D.
• Caroline Janski Cannan
• Frances Alison Capko, PHARMD
• Jay Donald Capra, M.D.
• Caprock Home Health Services, Inc.

• Physical Therapist in Abilene, TX
• Providers in Abilene, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.