Individual provider Active NPI

Emily Elizabeth Canna, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1346586997
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056009082 Issued in IL
Practice address
3652 W 111TH St
Chicago, IL 60655-3333
Phone
(773) 253-9856
Fax
(773) 253-9876
NPI assigned
Dec 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056009082 IL Primary

Addresses

Primary practice location

3652 W 111TH St
Chicago, IL 60655-3333

Mailing address

11021 S Keating Ave
Apt 3NE
Oak Lawn, IL 60453-5653
Phone (708) 653-7939

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
056009082ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1346586997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 S KEATING AVE",
            "address_2": "APT 3NE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535653",
            "telephone_number": "708-653-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553333",
            "telephone_number": "773-253-9856",
            "fax_number": "773-253-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNA",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.