C O R E PHYSICAL THERAPY CENTERS (NPI# 1386865855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386865855 |
| Entity Type | Organization |
| Organization Name | C O R E PHYSICAL THERAPY CENTERS |
| Other Organization Name | CANONI CORP |
| Practice Address |
388 Pleasant St Suite 305 Malden MA 02148-8143 |
| Practice Telephone | 7813880012 |
| Practice Fax Number | 7813883312 |
| Mailing Telephone | 7813880012 |
| Mailing Fax Number | 7813883312 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2015-04-28 |
| Authorized Official Name | DR. ELIZABETH JEAN CANONI (OWNER) |
| Authorized Official Telephone | 7813880012 |
| Authorized Official Credential | PT,DPT,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 11243 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS GROUP NUMBER | Y61381 | 01 |
| MA | AETNA PIN NUMBER | 7703674 | 01 |
| MA | AETNA HMO NUMBER | 3841105 | 01 |
| MA | TUFTS GROUP NUMBER | 820774 | 01 |
| MA | HARVARD PROVIDER NUMBER | AA38236 | 01 |
| Other Name | Type Code |
|---|---|
| Canoni Corp | Former Legal Business Name - Organization |
| Street Address |
388 PLEASANT ST SUITE 305 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-8143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689664898 | Elizabeth Jean Canoni | Physical Therapist | 388 Pleasant St, Suite 203, Malden, MA 02148-8143 | 2005-10-27 |
| 1033517842 | Sonja Moik | Physical Therapist | 388 Pleasant St, Suite 305, Malden, MA 02148-8143 | 2014-12-10 |
| 1134532146 | Lucia Morales | Counselor | 388 Pleasant St, Malden, MA 02148-8143 | 2014-06-06 |
| 1447574710 | Preventive Medicine Associates | Counselor | 388 Pleasant St, Ste 305, Malden, MA 02148-8143 | 2010-03-16 |
| 1386852846 | Mark A. Caddell D.d.s. | Dentist | 388 Pleasant St, Malden, MA 02148-8143 | 2007-05-18 |
| 1447465158 | Medical Professional Services, Inc. | Clinical Medical Laboratory | 388 Pleasant St, Suite 305, Malden, MA 02148-8143 | 2007-05-14 |
| 1043423627 | Mark Alan Caddell | Dentist | 388 Pleasant St, Malden, MA 02148-8143 | 2007-05-08 |
| 1346390747 | Jose Santiago Villanueva | Urology | 388 Pleasant St, Suite No 201, Malden, MA 02148-8143 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427680743 | Cambridge Public Health Commission | Pharmacy | 350 Main Street Suite 640, Malden, MA 02148 | 2020-02-05 |
| 1568932192 | Stephanie L Octave | Behavior Technician | 28 Wolcott St, Malden, MA 02148 | 2018-11-27 |
| 1477036549 | Fabienne Odney | Registered Nurse | 41 Alpine St, Malden, MA 02148 | 2018-09-13 |
| 1972085322 | Donna Watson | Social Worker | 33 Goodwin Avenue, Malden, MA 02148 | 2018-09-02 |
| 1588144505 | Michael William Sage | Physician Assistant | Cha Malden Care Center, 195 Canal Street, Malden, MA 02148 | 2018-08-20 |
| 1255827432 | Martineau Louine | Internal Medicine | 11 Dennis Road, Malden, MA 02148 | 2018-07-10 |
| 1700378098 | Catherine Grieves | Social Worker | 785 Main St Apt. 6, Malden, MA 02148 | 2018-06-01 |
| 1215427901 | Leam Thomas | Counselor | 175 Summer Street, Apt204, Malden, MA 02148 | 2018-05-17 |
| 1629593637 | David Acuna | Counselor | 22 Plesant Street, Malden, MA 02148 | 2017-08-10 |
| 1295258580 | Judith P Phillips | Physician Assistant | 24 Auburn Street, Malden, MA 02148 | 2017-07-19 |
| Find all providers in zip 02148 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861604308 | Melanie Daus Devera | Specialist | 40 Eastern Avenue, Malden, MA 02148-9104 | 2007-05-04 |
| 1427165521 | Felicito L Faller | Specialist | 17 Walnut St, Malden, MA 02148-7028 | 2006-08-24 |
| 1720091275 | Audrey Ann Xintaropoulos | Specialist | 46 Maynard St, Malden, MA 02148-4606 | 2006-08-15 |
| 1679818546 | Svetlana Nikolaevna Kuzmich | Specialist | 390 Pleasant St, Malden, MA 02148 | 2012-12-04 |
| 1710248158 | Vanydia Simon | Specialist | 214 Commercial St, Malden, MA 02148-6716 | 2012-06-01 |
| 1902065568 | Chungeun Oh | Specialist | 40 Eastern Ave, Malden, MA 02148-5014 | 2008-06-08 |
| 1588609655 | Associated Health Care Group | Specialist | 180 Exchange St, Malden, MA 02148-5514 | 2006-06-20 |
| 1437121720 | David Martin Guyette | Specialist | 600 Main St, Malden, MA 02148-3919 | 2006-02-02 |
| 1063483063 | Ashraf S Selim | Specialist | 178 Savin Street, Suite 500, Malden, MA 02148-2316 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1811595440 | Elite Upper Extremity and Plastic Surgery, Pllc | Specialist | 123 Summer St Ste 550, Worcester, MA 01608-1216 | 2020-10-15 |
| 1285272559 | Michael Anthony Mandella | Specialist | 615 Reservoir Rd, Lunenburg, MA 01462-1540 | 2019-12-17 |
| 1003372996 | Pic A Nit LLC | Specialist | 111 Worcester Street, North Grafton, MA 01536 | 2019-02-15 |
| 1427513738 | Arlene L Casassa | Specialist | 271 Pond St, Hopkinton, MA 01748-1509 | 2019-01-31 |
| 1851881767 | Cheryl Ann Borden | Specialist | 51 Country Club Way, Ipswich, MA 01938-3000 | 2018-05-16 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1114426988 | Louise Berit Homstead | Specialist | 108 N Main St Ste A, Sunderland, MA 01375-9502 | 2018-02-07 |
| 1356859425 | Tanya Elaine Lachowicz | Specialist | 19 Agassiz St Apt 1, Cambridge, MA 02140-2826 | 2018-01-11 |
| 1083126338 | Kailash Nagrath | Specialist | 33 Sequattom Road, Harwich, MA 02645 | 2017-10-26 |
| Find all providers with the same taxonomy | ||||
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| 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.