Jennyfaith O Canilao, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

009683-1 Issued in NY

Practice address

4624 Broadway
New York, NY 10040-2102

Phone

(212) 569-1044

NPI assigned

Apr 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1568924702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 RAMAPO RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661807",
            "telephone_number": "201-334-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402102",
            "telephone_number": "212-569-1044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 E 148th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554128",
            "country_code": "US",
            "telephone_number": "718-585-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANILAO",
        "first_name": "JENNYFAITH",
        "middle_name": "O",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09167200",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "009683-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan F. Cangiarella, M.D.
• Michael Cangro
• Julia Elisabeth Canick, MD
• Canid Ipa LLC
• Canid, Inc
• Elizabeth Canino, PHD
• Michael Christian Canino, PT, DPT
• Leah Canjura, MS, FNP-BC
• Margaret M Canjura, FNP
• Noah P Canlas, MD

• Occupational Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.