Active NPI
Mindy Jo Canupp, OTR/L
- Pediatric Occupational Therapist
- Columbus, OH
National Provider Identifier
1467706754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5366
- Practice address
- 1156 Parkway Dr
Columbus, OH 43212-3523 - Phone
- (614) 598-0049
- NPI assigned
- Nov 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 5366 | OH | Primary |
Addresses
Primary practice location
1156 Parkway Dr
Columbus, OH 43212-3523
Mailing address
1156 Parkway Dr
Columbus, OH 43212-3523
Phone (614) 598-0049
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 |
|---|---|---|---|
| 5366 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1467706754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1156 PARKWAY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123523",
"telephone_number": "614-598-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 PARKWAY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123523",
"telephone_number": "614-598-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANUPP",
"first_name": "MINDY",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "5366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.