Individual provider Active NPI

Jana Caponigro, OTR/L, CSRS

  • Occupational Therapist
  • Charleston, SC
National Provider Identifier
1417832825
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4960 Issued in SC
Practice address
1925 Essex Farms Dr
Charleston, SC 29414-6696
Phone
(518) 779-4888
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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 4960 SC Primary

Addresses

Primary practice location

1925 Essex Farms Dr
Charleston, SC 29414-6696

Mailing address

1925 Essex Farms Dr
Charleston, SC 29414-6696
Phone (518) 779-4888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008003742 SC Practitioner - Occupational Therapist in Private Practice 5193222818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Emeryville Dr
Suite 320
Cranberry Township, PA 16066-5023

7334 Stoney Moss Way
Hanahan, SC 29410-7297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4960SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Aug 1, 2025 Accepting new patients

Locations

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

1925 Essex Farms Dr
Charleston, SC 29414
Phone (843) 779-1685

5130 Westcott Blvd
Summerville, SC 29485
Phone (843) 376-5925

Organizations & group practices 2

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": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1417832825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 ESSEX FARMS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146696",
            "telephone_number": "518-779-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 ESSEX FARMS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146696",
            "telephone_number": "518-779-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPONIGRO",
        "first_name": "JANA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CSRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.