DR. ELIZABETH JEAN CANONI (NPI# 1689664898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689664898 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH JEAN CANONI |
| Other Name | ELIZABETH JEAN DODGE |
| Credential | PT, DPT |
| Practice Address |
388 Pleasant St Suite 203 Malden MA 02148-8143 |
| Mailing Address |
88 Converse Ln Melrose MA 02176-5121 |
| Practice Telephone | 7813880012 |
| Practice Fax Number | 7813883312 |
| Mailing Telephone | 7816325202 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11243 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS PROVIDER NUMBER | 468857 | 01 |
| MA | HARVARD PILGRIM NUMBER | AA38236 | 01 |
| MA | BCBS PROVIDER NUMBER | Y67615 | 01 |
| Street Address |
388 PLEASANT ST SUITE 203 |
| City | MALDEN |
| State | MA |
| Zip Code | 02148-8143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1386865855 | C O R E Physical Therapy Centers | Specialist | 388 Pleasant St, Suite 305, Malden, MA 02148-8143 | 2007-05-01 |
| 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 | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306817267 | Keith Levesque | Physical Therapist | 427 Main St, Malden, MA 02148-5012 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213409 | Kathryn A Piersiak | Physical Therapist | 5 N Meadows Rd Ste 6, Medfield, MA 02052-2317 | 2020-10-19 |
| 1134758287 | Joshua Westin Leigh | Physical Therapist | 4 Spring Ln, Rockport, MA 01966-2111 | 2020-04-01 |
| 1366078479 | Lisa Marie Giallonardo | Physical Therapist | 4 Wethersfield Rd # 8, Natick, MA 01760-1770 | 2020-03-20 |
| 1487291928 | Michael Micco | Physical Therapist | 70 Day St Apt 2, Boston, MA 02130-1191 | 2019-12-03 |
| 1205341245 | Infinite Potential Physical Therapy and Wellness | Physical Therapist | 242 Libbey Industrial Pkwy, Weymouth, MA 02189-3109 | 2017-12-13 |
| 1598278962 | Michael White | Physical Therapist | 406r Washington St, Holliston, MA 01746-1342 | 2017-11-08 |
| 1386154482 | Robert Pano | Physical Therapist | 45 Putnam Hill Rd, Sutton, MA 01590-1722 | 2017-10-03 |
| 1366960981 | Michael Crowley | Physical Therapist | 21 North Main Street, Attleboro, MA 02703 | 2017-09-04 |
| 1942659198 | Sports Medicine North | Physical Therapist | 2 First Ave Suite 211, Peabody, MA 01960-4959 | 2016-06-08 |
| 1376991505 | Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | 112 Parker St, Newburyport, MA 01950-4008 | 2016-05-27 |
| 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.