Andre Canlas, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

026430 Issued in NY

Practice address

3166 Bainbridge Ave
Suite 1B
Bronx, NY 10467-3922

Phone

(718) 548-1212

Fax

(718) 548-1900

NPI assigned

May 7, 2007

Sex

Male

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Boro Medical, P.C.

  • Surgical Physician Assistant
  • Bronx, NY
  • NPI 1528086584
  NPD (past)
• Theradynamics Physical Rehabilitation

  • Physical Therapist
  • Bronx, NY
  • NPI 1215149513
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801009022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 BAINBRIDGE AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673922",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 BAINBRIDGE AVE",
            "address_2": "SUITE 1B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104673922",
            "telephone_number": "718-548-1212",
            "fax_number": "718-548-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "ANDRE",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jalize Lianne Canela, MD
• Christina Canellos
• Lady Cecille Canete, PT
• Bridget Cangelosi, PHARMD.
• Agnes Zoraida Caniza, MA CCC-SLP
• Meredith Vitale Cann, LMSW
• Noel Kierstin Canna
• Kathleen Cannataro
• James Michael Cannella, PHARM.D.
• Pauline Cannella

• All providers in Bronx, NY
• Physical Therapist in New York

• 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.
• 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.