Individual provider Active NPI

Anisia Maria Arderi Canelo, OTR/L

  • Occupational Therapist
  • Miramar, FL
National Provider Identifier
1417650953
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24108 Issued in FL
Practice address
11370 SW 21St St
Miramar, FL 33025-6633
Phone
(786) 879-2726
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 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 FL
Occupational Therapist 225X00000X 24108 FL Primary

Addresses

Primary practice location

11370 SW 21St St
Miramar, FL 33025-6633

Mailing address

11370 SW 21St St
Miramar, FL 33025-6633
Phone (786) 879-2726

Other practice location 1

103 Westward Dr
Miami Springs, FL 33166-5257
Phone (305) 290-0622

Other practice location 2

10550 NW 77th Ct Ste 224
Hialeah Gardens, FL 33016-2071
Phone (305) 456-8031

Other practice location 3

900 W 49th St Ste 332
Hialeah, FL 33012-3489
Phone (786) 789-5305

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
24108FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Peds Place Therapy, LLC Occupational Therapist CurrentSince Apr 9, 2024 Accepting new patients

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": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1417650953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11370 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256633",
            "telephone_number": "786-879-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 SW 21ST ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256633",
            "telephone_number": "786-879-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Westward Dr",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331665257",
            "country_code": "US",
            "telephone_number": "305-290-0622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10550 NW 77th Ct Ste 224",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330162071",
            "country_code": "US",
            "telephone_number": "305-456-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W 49th St Ste 332",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123489",
            "country_code": "US",
            "telephone_number": "786-789-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDERI CANELO",
        "first_name": "ANISIA",
        "middle_name": "MARIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.