Elizabeth Jean Canoni, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

11243 Issued in MA

Practice address

388 Pleasant St
Suite 203
Malden, MA 02148-8143

Phone

(781) 388-0012

Fax

(781) 388-3312

NPI assigned

Oct 27, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Jean Dodge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C O R E Physical Therapy Centers

  • Specialist
  • Malden, MA
  • NPI 1386865855
  Authorized official Same address or phone
• Accord Management Services Inc

  dba Quantum Physical Therapy

  • Physical Therapist
  • Boston, MA
  • NPI 1114072295

  Orthopedic

  NPD (past)
• Tim Dreher PT & Associates, Inc.

  • Physical Therapist
  • Newton, MA
  • NPI 1609957679

  Orthopedic

  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689664898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 CONVERSE LN",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021765121",
            "telephone_number": "781-632-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 PLEASANT ST",
            "address_2": "SUITE 203",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021488143",
            "telephone_number": "781-388-0012",
            "fax_number": "781-388-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANONI",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "11243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DODGE",
            "middle_name": "JEAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cambridge Public Health Commission (Cambridge Health Alliance Outpatient Pharmacy Malden)
• Cambridge Public Health Commission
• Constance Emily Cammarata, DO
• Cassandra Campbell
• Steven Campbell, PT
• Jennifer Rea Cantilli, DPT
• Caring Home Health Care, LLC
• Carl F Carlamere, DDS
• Sara Carle
• Omar Carranza, BSW

• Orthopedic Physical Therapist in Malden, MA
• Providers in Malden, MA by specialty
• Orthopedic Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.