Individual provider Active NPI

Lidiya Kanarsky, OTR/L, CHT

  • Occupational Therapist
  • Plantation, FL
National Provider Identifier
1407275597
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24922 Issued in FL
Practice address
600 S Pine Island Rd Ste 103
Plantation, FL 33324-3178
Phone
(954) 474-2525
NPI assigned
Apr 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4362 OH
Occupational Therapist 225X00000X 24922 FL Primary

Addresses

Primary practice location

600 S Pine Island Rd Ste 103
Plantation, FL 33324-3178

Mailing address

600 S Pine Island Rd Ste 103
Plantation, FL 33324-3178
Phone (954) 474-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170801002217 OH Practitioner - Occupational Therapist in Private Practice 0042581613 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24922FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jun 19, 2017 Accepting new patients
Novacare Rehabilitation of Ohio, Inc. CurrentSince Jun 19, 2017 Accepting new patients
Novacare Rehabilitation of Ohio Inc Past Accepting new patients

Locations

373 Center St
Ste D
Chardon, OH 44024
Phone (440) 286-1688

803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200

Organizations & group practices 3

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": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1407275597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243178",
            "telephone_number": "954-474-2525",
            "fax_number": "954-474-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 103",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243178",
            "telephone_number": "954-474-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANARSKY",
        "first_name": "LIDIYA",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "4362",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.