Active NPI
Wendy Susan Canary, PT
- Physical Therapist
- Watchung, NJ
National Provider Identifier
1891213948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00453300
- Practice address
- 132 Hughes LN
Watchung, NJ 07069-5927 - Phone
- (908) 757-7927
- NPI assigned
- Sep 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00453300 | NJ | Primary |
Addresses
Primary practice location
132 Hughes LN
Watchung, NJ 07069-5927
Mailing address
132 Hughes LN
Watchung, NJ 07069-5927
Phone (908) 757-7927
Other practice location 1
153 N Adamsville Rd
Somerville, NJ 08876-2742
Phone (908) 543-4390
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00453300 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1891213948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 HUGHES LN",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695927",
"telephone_number": "908-757-7927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 HUGHES LN",
"city": "WATCHUNG",
"state": "NJ",
"postal_code": "070695927",
"telephone_number": "908-757-7927"
}
],
"practiceLocations": [
{
"address_1": "153 N Adamsville Rd",
"address_purpose": "LOCATION",
"city": "Somerville",
"state": "NJ",
"postal_code": "088762742",
"country_code": "US",
"telephone_number": "908-543-4390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANARY",
"first_name": "WENDY",
"middle_name": "SUSAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00453300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watchung, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.