Active NPI
Laura J Cannaday, PT
- Physical Therapist
- Temecula, CA
National Provider Identifier
1922083914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013567
- Practice address
- 31720 Temecula Pkwy
Suite 101
Temecula, CA 92592-5895 - Phone
- (951) 696-9353
- Fax
- (951) 973-7216
- NPI assigned
- Dec 13, 2005
- 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 | 070013567 | IL | Primary |
Addresses
Primary practice location
31720 Temecula Pkwy
Suite 101
Temecula, CA 92592-5895
Mailing address
24630 Washington Ave
Murrieta, CA 92562-6177
Phone (951) 695-5144
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623066 | Other | IL | BCBS PROVIDER # |
| 367885100 | Other | IL | US DEPT OF LABOR |
Other names 1
- Ms. Laura J Johnson
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | Past | Accepting new patients |
| Occusport Services Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Rochelle, IL
- NPI 1821267600
-
- Physical Therapist
- Lockport, IL
- NPI 1952350886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1922083914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24630 WASHINGTON AVE",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925626177",
"telephone_number": "951-695-5144",
"fax_number": "951-695-9345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31720 TEMECULA PKWY",
"address_2": "SUITE 101",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925925895",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNADAY",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "1623066",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR",
"identifier": "367885100",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "JOHNSON",
"middle_name": "J",
"prefix": "MS.",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.