Kathryn Jeanne Cannone, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00103800 Issued in NJ

Practice address

400 Route 70
Lakewood, NJ 08701-5826

Phone

(609) 805-1686

NPI assigned

Apr 25, 2024

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

Other names 1

• Mrs. Kathryn Tell Cannone Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588
  Medicare reassignment Care Compare group NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1760238257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ELLERY RD",
            "city": "VILLAS",
            "state": "NJ",
            "postal_code": "082513313",
            "telephone_number": "609-805-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 70",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015826",
            "telephone_number": "609-805-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNONE",
        "first_name": "KATHRYN",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00103800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "CANNONE",
            "middle_name": "TELL",
            "prefix": "MRS.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeanine M Calhoun
• Caliber Kids ABA LLC
• Kristina Camaroto, BCBA
• Camino Medical Equipment, Inc.
• Robert F. Cannis, DMD
• Capital RX LLC (Capital Rx)
• Leslie Victoria Carcamo
• Brianna Nicole Cardaci
• Care Diagnostics Limited Liability Corporation
• Care Street Homecare Services LLC

• Occupational Therapist in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.