Active NPI
Miquel Christine Canny
- Gerontology Occupational Therapist
- Spring, TX
National Provider Identifier
1447592944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 109317
- Practice address
- 16835 Deer Creek Dr
Suite 220
Spring, TX 77379-4968 - Phone
- (281) 379-4373
- Fax
- (281) 376-4357
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapist | 225XE0001X | 109317 | TX | |
| Gerontology Occupational Therapist | 225XG0600X | 109317 | TX | Primary |
Addresses
Primary practice location
16835 Deer Creek Dr
Suite 220
Spring, TX 77379-4968
Mailing address
6518 Rose Willow LN
Spring, TX 77379-4995
Phone (281) 381-0427
Other names 1
- Mrs. Kelli Canny
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
| License | State | Type | Specialty |
|---|---|---|---|
| 109317 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1447592944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 ROSE WILLOW LN",
"city": "SPRING",
"state": "TX",
"postal_code": "773794995",
"telephone_number": "281-381-0427",
"fax_number": "281-251-9498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DR",
"address_2": "SUITE 220",
"city": "SPRING",
"state": "TX",
"postal_code": "773794968",
"telephone_number": "281-379-4373",
"fax_number": "281-376-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNY",
"first_name": "MIQUEL",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Environmental Modification",
"state": "TX",
"license": "109317",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "TX",
"license": "109317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "CANNY",
"prefix": "MRS.",
"credential": "OTR",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.