Individual provider Active NPI

Janielle Craig

  • Occupational Therapist
  • Cape Coral, FL
National Provider Identifier
1285042986
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT16488 Issued in FL
Practice address
2328 Hancock Bridge Pkwy
Cape Coral, FL 33990-1459
Phone
(239) 478-7059
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT16488 FL Primary
Developmental Therapist 222Q00000X
Social Worker 104100000X
Occupational Therapist 225X00000X 16488 FL

Addresses

Primary practice location

2328 Hancock Bridge Pkwy
Cape Coral, FL 33990-1459

Mailing address

12440 Eagle Perch LN
Cape Coral, FL 33909-3047
Phone (239) 478-7059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16488FLMDSocial Worker
OT16488FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Homegrown Therapy SWFL Multi-Specialty CurrentSince Jan 28, 2024 Accepting new patients

Locations

2328 Hancock Bridge Pkwy
Cape Coral, FL 33990
Phone (239) 258-5967

1510 Hancock Bridge Pkwy
Ste 6
Cape Coral, FL 33990
Phone (239) 478-7059

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1285042986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12440 EAGLE PERCH LN",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339093047",
            "telephone_number": "239-478-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901459",
            "telephone_number": "239-478-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16488",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "16488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.