CANI PT OT SLP & PSYCHOLOGY PLLC (NPI# 1114065174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114065174 |
Entity Type | Organization |
Organization Name | CANI PT OT SLP & PSYCHOLOGY PLLC |
Practice Address |
19472 Us Route 11 Watertown NY 13601-5387 |
Practice Telephone | 3157826126 |
Practice Fax Number | 3157823816 |
Mailing Telephone | 3157826126 |
Mailing Fax Number | 3157823816 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2008-09-16 |
Authorized Official Name | MR. JAMES FREDERICK PEMBERTON (OWNER PHYSICAL THERAPIST) |
Authorized Official Telephone | 3157826126 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
19472 US ROUTE 11 |
City | WATERTOWN |
State | NY |
Zip Code | 13601-5387 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811967201 | Tomm L Maxon | Chiropractor | 19472 Us Route 11, Cani Medical Complex Chiropractic Suite, Watertown, NY 13601-5387 | 2006-01-26 |
1437780442 | Hiram A Garcia Dental Implants and Oral Surgery Pllc | Dentist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2020-01-29 |
1902356298 | Janean Lawyea | Speech-Language Pathologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2016-10-11 |
1841667995 | Kimberly Osucha | Audiologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2015-08-25 |
1730564980 | Buffalo Vamc | Clinic/Center | 19472 Us Route 11, Watertown, NY 13601-9998 | 2015-07-29 |
1558771741 | Maya Samuel | Audiologist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2014-04-28 |
1295166411 | Kevin Smith | Physical Therapist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2013-12-13 |
1720391089 | Elisabeth Gahler | Physical Therapist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2010-07-15 |
1679637110 | Jeffrey Kenneth Auerbach | Specialist | 19472 Us Route 11, Watertown, NY 13601-5387 | 2006-12-20 |
1053329771 | Paul S. Curtis, Md, PC | Orthopaedic Surgery | 19472 Us Route 11, Watertown, NY 13601-5387 | 2006-08-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
Find all providers in zip 13601 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144884172 | Cheryl Lou Martin | Specialist | 732 Gotham St, Watertown, NY 13601-4008 | 2019-04-25 |
1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
1508241878 | Upstate Radiology, PC | Specialist | 1116 Arsenal St Ste 504, Watertown, NY 13601-2229 | 2015-07-28 |
1730563396 | Shannon Marie Foy | Specialist | 20104 Arsenal Street Rd, Watertown, NY 13601-5555 | 2015-07-14 |
1235525007 | Julie Choate | Specialist | 11660 Deegan Ave Se, Watertown, MN 55388-8306 | 2015-04-08 |
1437554987 | Kelly Grass | Specialist | 449 Cross St, Watertown, NY 13601-3214 | 2014-10-27 |
1942550934 | Krista Lynn Iannetta | Specialist | 16783 Ives Street Road, Watertown, NY 13601 | 2012-09-17 |
1639430739 | Wendy Mccormick | Specialist | 120 Washington St Ste 306, Watertown, NY 13601-3330 | 2012-06-05 |
1285962407 | Ana Laura Stuart | Specialist | 50 Watertown St, #214, Watertown, MA 02472-2542 | 2009-11-29 |
1619201795 | Cassandra Marie Ladd-bashford | Specialist | 19472 Us Rt 11, Watertown, NY 13601 | 2009-09-23 |
Find all providers in WATERTOWN |
Please comment or provide details below to improve the information on CANI PT OT SLP & PSYCHOLOGY PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.