JOSHUA N LACANLALE (NPI# 1003145715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003145715 |
| Entity Type | Individual |
| Full Name | JOSHUA N LACANLALE |
| Credential | P.T. |
| Practice Address |
3035 S Ellsworth Rd Bldg 4, #128 Mesa AZ 85212-2160 |
| Mailing Address |
Po Box 32490 Phoenix AZ 85064-2490 |
| Practice Telephone | 4803576500 |
| Practice Fax Number | 4803576515 |
| Mailing Telephone | 6022304478 |
| Mailing Fax Number | 6022309962 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
8754 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3035 S ELLSWORTH RD BLDG 4, #128 |
| City | MESA |
| State | AZ |
| Zip Code | 85212-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245222074 | Karen Marie Acevedo-mogharbel | Family Medicine | 3035 S Ellsworth Rd, Suite 103, Mesa, AZ 85212 | 2005-08-18 |
| 1194173666 | Kirsten Fogarty | Physical Therapist | 3035 S Ellsworth Rd, Bldg 4 Ste 128, Mesa, AZ 85212-2160 | 2016-05-25 |
| 1750762142 | Amelia Mae Campbell | Nurse Practitioner | 3035 S Ellsworth Rd, Suite 135, Mesa, AZ 85212-2160 | 2015-06-11 |
| 1780090373 | Timothy Hinton | Physical Therapist | 3035 S Ellsworth Rd, Bdlg 164 Suite 128, Mesa, AZ 85212-2160 | 2014-07-03 |
| 1730480666 | Eric James Bloom | Physical Therapist | 3035 S Ellsworth Rd, Building 4, Suite 128, Mesa, AZ 85212-2160 | 2010-11-09 |
| 1912035965 | Desert Ridge Spine, Inc | Chiropractor | 3035 S Ellsworth Rd, Suite 109, Mesa, AZ 85212-2160 | 2007-03-01 |
| 1760404495 | Eric Reid Nielson | Dentist | 3035 S Ellsworth Rd, 138, Mesa, AZ 85212-2160 | 2006-07-24 |
| 1811938962 | Stacia B Kagie | Family Medicine | 3035 S Ellsworth Rd, Suite 103, Mesa, AZ 85212-2136 | 2006-06-09 |
| 1144275025 | Surgicare Sheridan Surgical Services | Preferred Provider Organization | 3035 S Ellsworth Rd, Suite 104, Mesa, AZ 85212-2160 | 2006-05-22 |
| 1811941321 | Arizona Preferred Primary Care,plc | Family Medicine | 3035 S Ellsworth Rd, Suite 103, Mesa, AZ 85212 | 2006-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558880856 | Adrienne Yamamoto | Physical Therapist | 2500 S Power Rd Ste 126, Mesa, AZ 85209-6688 | 2017-09-18 |
| 1083000129 | Nadine Gibson | Physical Therapist | 6824 E Brown Rd, Suite 102, Mesa, AZ 85207-3705 | 2015-04-15 |
| 1942559547 | Garret William Bruno | Physical Therapist | 1450 S Dobson Rd Ste A302, Mesa, AZ 85202-4746 | 2012-08-29 |
| 1407104375 | Andrew C Jarzabek | Physical Therapist | 1959 S Val Vista Dr Ste 106, Mesa, AZ 85204-7357 | 2012-08-26 |
| 1700166154 | Elis Raquel Conejo | Physical Therapist | 6553 E. Baywood, Suite 205, Mesa, AZ 85206 | 2011-08-17 |
| 1871774588 | Lianne Ka'uilani Rogers | Physical Therapist | 2217 W Keating Ave, Mesa, AZ 85202-7321 | 2007-11-21 |
| 1366452856 | R Samuel Anderson | Physical Therapist | 1500 S Dobson Rd Ste 314, Mesa, AZ 85202-4752 | 2006-08-08 |
| 1407848088 | Fred Edward Treece | Physical Therapist | 1345 E Mckellips Rd, 101, Mesa, AZ 85203-2721 | 2005-08-18 |
| 1578567129 | Marc Wayne Moore | Physical Therapist | 2500 S Power Rd, Ste 123, Mesa, AZ 85209-6686 | 2005-06-10 |
| 1205320207 | Brian Keith Infiesto | Physical Therapist | 1440 S Country Club Dr, Mesa, AZ 85210-9701 | 2018-06-22 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on JOSHUA N LACANLALE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.