Jamie Slater Canova, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

07749 Issued in LA

Practice address

211 E Worthy St
Building 4
Gonzales, LA 70737-4232

Phone

(225) 644-7044

Fax

(225) 644-4414

NPI assigned

Jan 15, 2010

Sex

Female

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

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Action Therapy & Wellness Center, LLC

  • Multi-Specialty Clinic/Center
  • Gonzales, LA
  • NPI 1083961577

  Physical Therapist

  NPD
• River Parish Physical Therapy and Wellness LLC

  • Physical Therapist
  • Gonzales, LA
  • NPI 1225402738
  NPD
• Clark Integrated Medical Clinics LLC

  dba Clark Integrated Medical Clinics

  • General Practice Physician
  • Lafayette, LA
  • NPI 1124529284
  NPD (past)
• Premier Rehab

  • Adult Care Home Facility
  • Luling, LA
  • NPI 1073818399
  NPD (past)
• Premier Rehab

  • Adult Care Home Facility
  • Gonzales, LA
  • NPI 1811292865
  NPD (past)

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1760713762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41035 LAKEWAY COVE AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378947",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E WORTHY ST",
            "address_2": "BUILDING 4",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374232",
            "telephone_number": "225-644-7044",
            "fax_number": "225-644-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOVA",
        "first_name": "JAMIE",
        "middle_name": "SLATER",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "07749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cajun Clinical Laboratory Services, LLC
• Elena M Campbell, MD
• Roxanne Campbell, RD, LDN
• Robyn Elizabeth Canady, PLPC, MS, NCC
• Anita Cann, MHS
• Harley Avis Cantillo
• Capital Area Human Services District (Ascension Behavioral Health)
• Felicia Cargo
• Caro Clinic, a.P.M.C.
• Caro Clinic, LLC

• Physical Therapist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.