Jennifer Michelle Cannon, P.T,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1195568 Issued in TX

Practice address

2535 W Oak St
Denton, TX 76201-2331

Phone

(940) 382-1577

Fax

(940) 387-5471

NPI assigned

May 27, 2010

Last updated

Sep 23, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1144549213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 THORNRIDGE CIR",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762262525",
            "telephone_number": "940-595-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 W OAK ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012331",
            "telephone_number": "940-382-1577",
            "fax_number": "940-387-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "credential": "P.T,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ORTHOTEXAS",
            "identifier": "854T74",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00954309",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Paige Campbell, LCSW
• Aisha Campos
• Jennifer Yvette Campos
• Elaine Veronica Candeloro, CNM
• Victor Alejandro Canela Samaniego, DO
• Sophia Ayana Cannon, MCRC, CRC, LPC
• Cantex Home Health Denton LLC (Theracare Home Health)
• Debra Elaine Cantrell, LPC
• Emily Cantrell
• Jay Patrice Capan, RN, PHCNS-BC

• Physical Therapist in Denton, TX
• Providers in Denton, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.