Active NPI
Monica Dionisio Canlas, PT
- Physical Therapist
- Old Greenwich, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13874
- Practice address
- 1455 E Putnam Ave 2ND Floor,
Old Greenwich, CT 06870 - Phone
- (203) 817-0196
- NPI assigned
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05060101 | NY | |
| Physical Therapist | 225100000X | 13874 | CT | Primary |
Addresses
Primary practice location
1455 E Putnam Ave 2ND Floor,
Old Greenwich, CT 06870
Mailing address
1455 E Putnam Ave 2ND Floor,
Old Greenwich, CT 06870
Phone (203) 817-0196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231016001731 | CT | Practitioner - Physical Therapist in Private Practice | 7315392057 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Connecticut IncOrthoconnecticut PLLC
Practice addresses (Care Compare)
1455 E Putnam Ave
Suite 2
Old Greenwich, CT 06870-1360
Phone (203) 817-0196
45 Danbury Rd
Suite 200
Wilton, CT 06897-4405
Phone (203) 845-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13874 | CT | MD | Clinical Social Worker |
| 05060101 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edra Stern MD LLC | Current | Accepting new patients | |
| Hand Therapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Connecticut, Inc. | Physical Therapist | Current | Accepting new patients |
| Orthoconnecticut, PLLC | Physical Therapist | Current | Accepting new patients |
| Orthoconnecticut, PLLC | Current | Accepting new patients | |
| Hand Therapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Orthoconnecticut, PLLC | Past | Accepting new patients |
Locations
2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702
1455 E Putnam Ave
Ste 2
Old Greenwich, CT 06870
Phone (203) 661-4242
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
45 Danbury Rd
Ste 200
Wilton, CT 06897
Phone (203) 845-2000
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
Organizations & group practices 14
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1780362467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 E PUTNAM AVE 2ND FLOOR,",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "06870",
"telephone_number": "203-817-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 E PUTNAM AVE 2ND FLOOR,",
"city": "OLD GREENWICH",
"state": "CT",
"postal_code": "06870",
"telephone_number": "203-817-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANLAS",
"first_name": "MONICA",
"middle_name": "DIONISIO",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2023-09-27",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "05060101",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.