Active NPI
Noella Lipura Canlas, PT
- Physical Therapist
- Sunrise, FL
National Provider Identifier
1821521923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039960-1
- Practice address
- 12451 NW 15TH PL
Sunrise, FL 33323-5229 - Phone
- (954) 383-7842
- NPI assigned
- Apr 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 039960-1 | NY | Primary |
Addresses
Primary practice location
12451 NW 15TH PL
Sunrise, FL 33323-5229
Mailing address
91 E Lecaros Extension Ugac Sur
Tuguegarao, CAGAYAN VALLEY 3500
PH
Phone (954) 383-7842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039960-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491350400000",
"number": "1821521923",
"addresses": [
{
"country_code": "PH",
"country_name": "Philippines",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "91 E LECAROS EXTENSION UGAC SUR",
"city": "TUGUEGARAO",
"state": "CAGAYAN VALLEY",
"postal_code": "3500",
"telephone_number": "954-383-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12451 NW 15TH PL",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333235229",
"telephone_number": "954-383-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANLAS",
"first_name": "NOELLA",
"middle_name": "LIPURA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-05",
"last_updated": "2017-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039960-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.