Individual provider Active NPI

Miquel Christine Canny

  • Gerontology Occupational Therapist
  • Spring, TX
National Provider Identifier
1447592944
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Occupational TherapistTaxonomy code 225XG0600X
License
109317 Issued in TX
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

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
109317TXMDSpeech-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.

Verify at the official NPI Registry.