Adriana Thalia Canessa, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09217300 Issued in NJ

Practice address

155-175 W Hudson Ave
Englewood, NJ 07631

Phone

(201) 871-8882

NPI assigned

Apr 12, 2022

Last updated

Apr 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1659013464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAIN ST APT 2",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070262523",
            "telephone_number": "973-341-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155-175 W HUDSON AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANESSA",
        "first_name": "ADRIANA",
        "middle_name": "THALIA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09217300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda L Calvert, BA
• Caroline Camarena, MSW, LSW
• Felourdes Camay, APN
• Florence L Campbell, APN
• Melesia Campbell
• Capernum Physical Therapy LLC
• Stuart Caplen, MD
• Rachel Patricia Capuyan-Killip, RN
• Cardiovascular Associates of North Jersey, P.C.
• Joanne Cardona, NP

• Occupational Therapy Assistant in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.