Carol M Cantello, OTR/L SR FELLOW BC/A

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119003872 Issued in VA

Practice address

12676 Cobblestone CT
Manassas, VA 20112

Phone

(571) 215-3172

Fax

(703) 794-7157

NPI assigned

Aug 2, 2010

Last updated

Feb 27, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Movement Performance Center

  • Occupational Therapist
  • Gainesville, VA
  • NPI 1588342869
  NPD Authorized official
• Bristow Physical Therapy & Chiropractic, LLC

  • Chiropractor
  • Bristow, VA
  • NPI 1538476734
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1174837165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12676 COBBLESTONE CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20112",
            "telephone_number": "571-215-3172",
            "fax_number": "703-794-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12676 COBBLESTONE CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20112",
            "telephone_number": "571-215-3172",
            "fax_number": "703-794-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTELLO",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "OTR/L SR FELLOW BC/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003872",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Brien Campbell, ANP
• Susan Keller Campbell, M.D.
• Can,Inc (Eye Pro Express)
• Desiree Canizalez
• Katie Cannon
• Hannah Cantrell
• Capital Behavioral Health, LLC
• Jennifer A Capper, MSOT
• Samantha Jo Caracciolo, LBA
• Christine Lori Cardone, FNP-BC

• Occupational Therapist in Manassas, VA
• Providers in Manassas, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.