Jessica Canna, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012969 Issued in IL

Practice address

3644 W 111TH St
Chicago, IL 60655-3333

Phone

(773) 779-8480

Fax

(773) 779-8404

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1295876175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553333",
            "telephone_number": "773-779-8480",
            "fax_number": "773-779-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553333",
            "telephone_number": "773-779-8480",
            "fax_number": "773-779-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNA",
        "first_name": "JESSICA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Anne Canitz, DPT
• Jessa Marie Canlas, RN
• Ursula S Canli, N.P.
• Felicity Mauvae Cann, RDN, LDN
• Emily Elizabeth Canna, OTR/L
• Samuele Cannas, MD, MS
• Brenda Canning, OTR/L
• Caroline R Canning
• Sally S Canning, PHD
• Samantha Canning, MD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.