Individual provider Active NPI

Antonella Rubio Canon

  • Occupational Therapist
  • Elizabeth, NJ
National Provider Identifier
1568359016
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01245300 Issued in NJ
Practice address
139 Bellevue St
Elizabeth, NJ 07202-1553
Phone
(908) 227-8333
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01245300 NJ Primary

Addresses

Primary practice location

139 Bellevue St
Elizabeth, NJ 07202-1553

Mailing address

139 Bellevue St
Elizabeth, NJ 07202-1553
Phone (908) 227-8333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723004080 NJ Practitioner - Occupational Therapist in Private Practice 5597271601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enjoy Jersey Services LLCGroup PAC ID 5193246411, 2 clinicians

Practice addresses (Care Compare)

305 Bayonne Crossing Way
Bayonne, NJ 07002-5304
Phone (201) 778-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01245300NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoy Jersey Services LLC Occupational Therapist CurrentSince Jun 4, 2025 Accepting new patients
Rapha Wellness Center, PC CurrentSince Jun 4, 2025 Accepting new patients
Opportunity Project, Inc. Occupational Therapist CurrentSince Aug 4, 2025 Accepting new patients

Locations

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020

60 E Willow St
Millburn, NJ 07041
Phone (973) 921-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1568359016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 BELLEVUE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021553",
            "telephone_number": "908-227-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 BELLEVUE ST",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021553",
            "telephone_number": "908-227-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO CANON",
        "first_name": "ANTONELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01245300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.