Mary Canausa, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000796-1 Issued in NY

Practice address

169 Canterbury Road
Fort Montgomery, NY 10922

Phone

(845) 222-8310

NPI assigned

Aug 17, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1700078227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "FORT MONTGOMERY",
            "state": "NY",
            "postal_code": "109220329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CANTERBURY ROAD",
            "city": "FORT MONTGOMERY",
            "state": "NY",
            "postal_code": "10922",
            "telephone_number": "845-222-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAUSA",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Brown, M.ED, LSSP, NCSP
• Elite Conceptions LLC
• Amy Kristine Harper, OTR/L
• Highlandfallsfortmontgomerycsd
• Jennifer Kimbiz, M.S., CCC-SLP
• Kay Kuhlman Kolditz, MS

• Physical Therapy Assistant in Fort Montgomery, NY
• Providers in Fort Montgomery, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.