Active NPI
Devan Canaday, DPT
- Physical Therapist
- Golden, CO
National Provider Identifier
1992459085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP032592T
- Practice address
- 112 N Rubey Dr Unit 135
Golden, CO 80403-3214 - Phone
- (303) 279-7703
- NPI assigned
- Feb 8, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13680 | TN | |
| Physical Therapist | 225100000X | CP027620T | TX | |
| Physical Therapist | 225100000X | CP032592T | CO | Primary |
Addresses
Primary practice location
112 N Rubey Dr Unit 135
Golden, CO 80403-3214
Mailing address
1999 Rutledge Pike
Blaine, TN 37709-5003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220302000519 | TN | Practitioner - Physical Therapist in Private Practice | 5991199234 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP032592T | CO | MD | Physical Therapist |
| 13680 | TN | MD | Physical Therapist |
| CP027620T | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1992459085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 RUTLEDGE PIKE",
"city": "BLAINE",
"state": "TN",
"postal_code": "377095003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N RUBEY DR UNIT 135",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804033214",
"telephone_number": "303-279-7703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADAY",
"first_name": "DEVAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "13680",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "CP027620T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP032592T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.