Active NPI
Jennifer Cannon, MPT
- Physical Therapist
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5920 S Estes St Ste 100
Littleton, CO 80123-8619 - Phone
- (303) 932-2500
- Fax
- (303) 932-2600
- NPI assigned
- Aug 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5920 S Estes St Ste 100
Littleton, CO 80123-8619
Mailing address
8389 S Independence Cir Unit 306
Littleton, CO 80128-9256
Phone (720) 255-9659
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7939 | Other | CO | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Performax Front Range Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Joseph J Teixeira RPT PC | Physical Therapist | Past | Accepting new patients |
Locations
18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941
3925 SW 153rd Dr
Ste 210
Beaverton, OR 97003
Phone (503) 644-0600
2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Portland, OR
- NPI 1346672797
-
dba Performax Physical Therapy
- Physical Therapist
- Littleton, CO
- NPI 1790847267
-
- Physical Therapist
- Denver, CO
- NPI 1093877565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093822157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8389 S INDEPENDENCE CIR UNIT 306",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801289256",
"telephone_number": "720-255-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 S ESTES ST STE 100",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801238619",
"telephone_number": "303-932-2500",
"fax_number": "303-932-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "JENNIFER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "7939",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.