Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eric Canonaco, DPT

Individual provider Physical Therapist · NPI 1003771528

Eric Canonaco, DPT is a Physical Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 2025, 1 year ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

17-17 Route 208 Ste 116
Fair Lawn, NJ 07410-2819
Phone: (201) 291-0750
Fax: (201) 291-0753
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02392100 (NJ)

Record details

NPI number1003771528
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address17-17 Route 208 Ste 116, Fair Lawn, NJ 07410-2819

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fair Lawn