Organization
C O R E PHYSICAL THERAPY CENTERS
Active
Other names
Canoni Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH JEAN CANONI PT,DPT,MS (OWNER)
(781) 388-0012
Entity
Organization
Contact information
Practice address
388 PLEASANT ST, SUITE 305, MALDEN, MA 02148-8143
(781) 388-0012
(781) 388-3312
Mailing address
388 PLEASANT ST, SUITE 305, MALDEN, MA 02148-8143
(781) 388-0012
(781) 388-3312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3841105
AETNA HMO NUMBER
MA
01
—
7703674
AETNA PIN NUMBER
MA
01
—
820774
TUFTS GROUP NUMBER
MA
01
—
AA38236
HARVARD PROVIDER NUMBER
MA
01
—
Y61381
BLUE CROSS GROUP NUMBER
MA
Enumeration date
05/01/2007
Last updated
04/28/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us