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

Raymond Rene Lucio Canda, RPT

Individual provider Pediatric Physical Therapist · NPI 1487931184

Raymond Rene Lucio Canda, RPT is a Physical Therapist in Private Practice in South Bend, Indiana. Qualified in 1988, 38 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
38
Licensed in
IN, MO
In the registry since
2011
Specialties on file
2

Practice location Address checks out

211 N Eddy St
South Bend, IN 46617-3096
Phone: (574) 334-7410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6301 University Commons, South Bend, IN 46635-1571 — (574) 968-2851

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05005612A (IN)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence 02179 (MO)

Record details

NPI number1487931184
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Bend