Adriana Estela Novelli-Canner, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004605 Issued in MI

Practice address

3160 Haggerty Rd
Ste H
West Bloomfield, MI 48323-2000

Phone

(248) 669-5757

Fax

(248) 669-2090

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectra Med Inc

  • Community/Retail Pharmacy
  • West Bloomfield, MI
  • NPI 1972938140
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1174698179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD",
            "address_2": "STE I",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232000",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 HAGGERTY RD",
            "address_2": "STE H",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232000",
            "telephone_number": "248-669-5757",
            "fax_number": "248-669-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVELLI-CANNER",
        "first_name": "ADRIANA",
        "middle_name": "ESTELA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI PROVIDER ID",
            "identifier": "650F35754",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Point - Pioneer, Inc
• Northerner Psychological Services, PLLC
• Laura M. Northerner, PHD, LP
• Northwest Podiatry PC
• Notting Hill of West Bloomfield, LLC
• Marina Novikova, DO
• Peggyann Nowak, MD
• Stacy Colleen Nuar, PSYD, LP
• Nurturing Hands Case Management LLC
• Jeffrey Nusbaum, M.D.

• Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.