Jacob Canright, DPT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

070.022579 Issued in IL

Practice address

3200 W Kimberly Rd
Davenport, IA 52806-3059

Phone

(563) 421-0300

Fax

(563) 421-0309

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1093369589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063059",
            "telephone_number": "563-421-0300",
            "fax_number": "563-421-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W KIMBERLY RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528063059",
            "telephone_number": "563-421-0300",
            "fax_number": "563-421-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANRIGHT",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IL",
            "license": "070.022579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candlelight in- Home Companion, Inc
• Candlelight in-Home Care Inc
• Candlelight Services LLC
• Candlelight Services, LLC.
• Katrina Terese Cannon, MD, MS, CMD
• Robin Richard Canterbury, D.C.
• Bobbi Lynn Cantu
• Jenna Capesius, LMSW
• Jillian Cappaert, DPT
• Kristilee Caryl Cappaert

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.