Marta Alicia Canaan, M.S., OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

014186-1 Issued in NY

Practice address

159 20TH St Ste 3a
Brooklyn, NY 11232-1254

Phone

(347) 534-7796

Fax

(347) 799-1383

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1508194937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 20TH ST STE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321254",
            "telephone_number": "347-534-7796",
            "fax_number": "347-799-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 20TH ST STE 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321254",
            "telephone_number": "347-534-7796",
            "fax_number": "347-799-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAAN",
        "first_name": "MARTA",
        "middle_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "014186-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vikki Tatiana Campos
• Julia Elizabeth Campoverde-Romero, CCC-SLP
• Jennifer Campoverde, FNP
• Canaan Pharmacy Inc. (Freedom Pharmacy)
• Alexsis Canaan
• Shericka Canady, LCSW
• Canal Street Pharmacy Incorporated
• Cali Ann Canal, OTR/L
• Pedro Canals-Ferrat, M.D.
• Kalman Avraham Canant, LCSW

• Pediatric Occupational Therapist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.