CANOPY OCCUPATIONAL THERAPY LLC
NPI 1194677930
Occupational Therapist - Neurorehabilitation in Jacksonville, FL
About Canopy Occupational Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANOPY OCCUPATIONAL THERAPY LLC (NPI 1194677930) is a healthcare organization registered as a neurorehabilitation in Jacksonville, Florida and active in the NPI registry since February 2026. The organization lists Kelley Martin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
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)
Canopy Occupational Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Canopy Occupational Therapy LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Canopy Occupational Therapy LLC's NPI number?
The NPI number for Canopy Occupational Therapy LLC is 1194677930. It was assigned to this organization in the NPPES registry on February 12, 2026.
Where is Canopy Occupational Therapy LLC located?
Canopy Occupational Therapy LLC is located at 4908 Key Lime Dr Unit 201, Jacksonville, FL 32256. The listed phone number is (305) 409-9376.
What is Canopy Occupational Therapy LLC's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.
Is Canopy Occupational Therapy LLC enrolled in Medicare?
Yes. Canopy Occupational Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Canopy Occupational Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Canopy Occupational Therapy LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Canopy Occupational Therapy LLC was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Canopy Occupational Therapy Llc · NPI 1194677930
Neurorehabilitation organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since February 12, 2026.
## Identity
- **NPI:** 1194677930 (Entity type: Organization)
- **Enumerated:** February 12, 2026
- **Primary specialty:** Occupational Therapist - Neurorehabilitation · taxonomy 225XN1300X
- **Organization subpart:** No
- **Authorized official:** Kelley Martin, CEO
## Practice location
- **Address:** 4908 KEY LIME DR UNIT 201, Jacksonville, FL 32256-3270
- **Phone:** (305) 409-9376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Occupational Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194677930) · Data from the CMS NPPES public registry.