Individual provider Active NPI

Elyse Canas, O.T.R./L.

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1801846282
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0001062 Issued in FL
Practice address
2900 N Military TRL
Boca Raton, FL 33431-6365
Phone
(561) 995-9111
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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 0001062 FL Primary

Addresses

Primary practice location

2900 N Military TRL
Boca Raton, FL 33431-6365

Mailing address

21570 Plum Rd
Boca Raton, FL 33433-7544
Phone (561) 391-8283

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000804 FL Practitioner - Occupational Therapist in Private Practice 5991894925 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy by Design LLCGroup PAC ID 6608844170, 12 clinicians
Brent C Stuart LLCGroup PAC ID 8628355146, 3 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr Blvd
Suite 104
Boynton Beach, FL 33437-3760
Phone (561) 994-0014

806 E Windward Way
Apt 512
Lantana, FL 33462-8015
Phone (617) 429-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001062FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Design LLC CurrentSince Nov 17, 2007 Accepting new patients
Essential Balance Physical Therapy & Massage PA CurrentSince Feb 14, 2017 Accepting new patients
Brent C Stuart LLC CurrentSince Jan 6, 2017 Accepting new patients
Kevin Pallone MPT PA Occupational Therapist CurrentSince Nov 18, 2013 Accepting new patients
F.I.T. PT, LLC Occupational Therapist CurrentSince Jan 18, 2021 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

10151 Entrprs Cntr Blvd
Ste 107
Boynton Beach, FL 33437
Phone (561) 738-2000

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1801846282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21570 PLUM RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337544",
            "telephone_number": "561-391-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316365",
            "telephone_number": "561-995-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "O.T.R./L.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "0001062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.