Canopy Occupational Therapy LLC

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

Legal business name

CANOPY OCCUPATIONAL THERAPY LLC

Practice address

4908 Key Lime Dr Unit 201
Jacksonville, FL 32256-3270

Phone

(305) 409-9376

NPI assigned

Feb 12, 2026

Organization subpart

No

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

Authorized official

Name

Kelley Martin, OTR/LNPI 1528739612

Title

Ceo

Phone

(305) 409-9376

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelley Marie Martin, OTR/L

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1528739612
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1194677930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 KEY LIME DR UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563270",
            "telephone_number": "305-409-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 KEY LIME DR UNIT 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563270",
            "telephone_number": "305-409-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-409-9376",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy McLean Cannon, APRN, FNP-C
• Najja Cannon, LCSW
• Rodnekia S Cannon
• Eva Cano
• Canopie Health P.a.
• Jessica Canosa
• Shannon Maria Cantalupo, PSY.D.
• Melissa K Cantave, MD
• Thalia Cantillo
• Elizabeth Marie Cantin

• Neurorehabilitation Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Neurorehabilitation Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.