Active NPI
Kyle Joseph Ordonez Canlas, DOT
- Physical Therapist
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1398635
- Practice address
- 407 E Main St
Auburn, WA 98002-5504 - Phone
- (253) 545-0044
- NPI assigned
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1398635 | TX | Primary |
Addresses
Primary practice location
407 E Main St
Auburn, WA 98002-5504
Mailing address
6050 Tacoma Mall Blvd Ste 300
Tacoma, WA 98409-6828
Other names 1
- Kyle Canlas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1398635 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
Locations
407 E Main St
Auburn, WA 98002
Phone (253) 545-0044
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
Organizations & group practices 4
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba MultiCare Imaging - King
- Diagnostic Radiology Physician
- Covington, WA
- NPI 1578803839
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1780492272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 TACOMA MALL BLVD STE 300",
"city": "TACOMA",
"state": "WA",
"postal_code": "984096828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 E MAIN ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980025504",
"telephone_number": "253-545-0044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANLAS",
"first_name": "KYLE JOSEPH",
"middle_name": "ORDONEZ",
"credential": "DOT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1398635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KYLE",
"last_name": "CANLAS",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.