Provider Demographics
NPI:1417832825
Name:CAPONIGRO, JANA (OTR/L, CSRS)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:
Last Name:CAPONIGRO
Suffix:
Gender:F
Credentials:OTR/L, CSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 ESSEX FARMS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-6696
Mailing Address - Country:US
Mailing Address - Phone:518-779-4888
Mailing Address - Fax:
Practice Address - Street 1:1925 ESSEX FARMS DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-6696
Practice Address - Country:US
Practice Address - Phone:518-779-4888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4960225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist