CANI PT OT SLP & PSYCHOLOGY PLLC
NPI 1114065174
Specialist in Watertown, NY
About Cani Pt Ot Slp & Psychology Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANI PT OT SLP & PSYCHOLOGY PLLC (NPI 1114065174) is a healthcare organization registered as a specialist in Watertown, New York and active in the NPI registry since February 2007. The organization lists James Frederick Pemberton, Owner Physical Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cani Pt Ot Slp & Psychology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Cani Pt Ot Slp & Psychology PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cani Pt Ot Slp & Psychology PLLC's NPI number?
The NPI number for Cani Pt Ot Slp & Psychology PLLC is 1114065174. It was assigned to this organization in the NPPES registry on February 2, 2007.
Where is Cani Pt Ot Slp & Psychology PLLC located?
Cani Pt Ot Slp & Psychology PLLC is located at 19472 Us Route 11, Watertown, NY 13601. The listed phone number is (315) 782-6126.
What is Cani Pt Ot Slp & Psychology PLLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Cani Pt Ot Slp & Psychology PLLC enrolled in Medicare?
Yes. Cani Pt Ot Slp & Psychology PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cani Pt Ot Slp & Psychology PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Cani Pt Ot Slp & Psychology PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (9), Occupational Therapist in Private Practice (1) and Qualified Speech Language Pathologist (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cani Pt Ot Slp & Psychology PLLC was last updated on September 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cani Pt Ot Slp & Psychology Pllc · NPI 1114065174
Specialist organization in Watertown, New York. Organization record, active in the CMS NPPES registry since February 2, 2007.
## Identity
- **NPI:** 1114065174 (Entity type: Organization)
- **Enumerated:** February 2, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** James Pemberton, OWNER PHYSICAL THERAPIST
## Practice location
- **Address:** 19472 US ROUTE 11, Watertown, NY 13601-5387
- **Phone:** (315) 782-6126 · **Fax:** (315) 782-3816
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (9), Occupational Therapist in Private Practice (1), Qualified Speech Language Pathologist (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1114065174) · Data from the CMS NPPES public registry.