Organization Active NPI

Canary Rehab

  • Occupational Therapist
  • Palmer, MA
National Provider Identifier
1114598570
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CANARY REHAB
Practice address
113 Boston Rd
Palmer, MA 01069-2135
Phone
(413) 289-4948
Fax
(413) 351-0226
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah Staples-Canary, OT
Title
Owner
Phone
(413) 289-4948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

113 Boston Rd
Palmer, MA 01069-2135

Mailing address

113 Boston Rd
Palmer, MA 01069-2135
Phone (413) 289-4948

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1114598570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 BOSTON RD",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010692135",
            "telephone_number": "413-289-4948",
            "fax_number": "413-351-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BOSTON RD",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010692135",
            "telephone_number": "413-289-4948",
            "fax_number": "413-351-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "STAPLES-CANARY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-289-4948",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.