Cani PT OT SLP & Psychology, PLLC – Specialist

Key facts

NPI: 1477869824
Entity type: Organization (NPI type 2)
Primary specialty: Specialist 174400000X
Legal business name: CANI PT OT SLP & PSYCHOLOGY, PLLC
Practice address: 216 County Route 64
Mexico, NY 13114-3229
Phone: (315) 963-0864
NPI assigned: Aug 24, 2010
Organization subpart: No

Authorized official

Name: James F. Pemberton, PT
Title: Ceo
Phone: (315) 782-3941

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Cani PT OT SLP & Psychology PLLC Specialist · Watertown, NY · NPI 1114065174

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

James F Pemberton, P.T. Specialist · Watertown, NY · NPI 1417925108

NPD (past) SPECIALIST

National Provider Directory

Tax ID family: Cani PT OT SLP Psychology (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Specialist Group: 193200000X MULTI-SPECIALTY GROUP	174400000X			Yes

Addresses

Primary practice location

216 County Route 64
Mexico, NY 13114-3229

Mailing address

PO Box 519
Watertown, NY 13601
Phone (315) 782-3941

Other providers in Mexico, NY

All providers in Mexico, NY · Specialist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.