MELANIE R CANNA, OTR/L — NPI 1972232288 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in JACKSON, WY)

CMS-1500 Box 24J / 33a • NPI

1972232288

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225XN1300X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

625 E BROADWAY AVE, JACKSON, WY, 83001-8642

✓ 9-Digit EDI 837 ZIP+4 (83001-8642)

Practice Phone & Referral Fax

(307) 733-3636

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1972232288 (MELANIE R CANNA, OTR/L) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1972232288` (NPI-1 Individual Practitioner)
Provider / Legal Name	MELANIE R CANNA, OTR/L
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225XN1300X` (Occupational Therapist, Neurorehabilitation)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	625 E BROADWAY AVE, JACKSON, WY, 83001-8642
Practice Telephone / Fax	Tel: (307) 733-3636
Administrative Mailing Address	4935 S 1750 E, VICTOR, ID, 83455-4304
Enumeration & Last Sync	Enumerated: 2022-06-10 \| CMS Record Updated: 2022-06-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

625 E BROADWAY AVE, JACKSON, WY, 83001-8642

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Plain-English Taxonomy & CMS Crosswalk (225XN1300X)

What Does Taxonomy Code 225XN1300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225XN1300X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MELANIE R CANNA, OTR/L)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225XN1300X` — Occupational Therapist, Neurorehabilitation Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: WY \| License: `OT-1631` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MELANIE R CANNA, OTR/L (NPI #1972232288)