Individual provider Active NPI

Cannon Creese, DPT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1164134201
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303414 Issued in CA
Practice address
9501 Flushing Quail Rd Ste 10
Bakersfield, CA 93312-2699
Phone
(661) 589-9066
Fax
(661) 589-4209
NPI assigned
Dec 20, 2022
Last updated
Dec 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303414 CA Primary

Addresses

Primary practice location

9501 Flushing Quail Rd Ste 10
Bakersfield, CA 93312-2699

Mailing address

9501 Flushing Quail Rd Ste 10
Bakersfield, CA 93312-2699
Phone (661) 589-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223001069 CA Practitioner - Physical Therapist in Private Practice 1951774843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9501 Flushing Quail Rd
Suite 8 10
Bakersfield, CA 93312-2698
Phone (661) 589-9066

Merit-based Incentive Payment System (MIPS)

Final score
81.98 of 100Reported as group
Quality
75
Improvement activities
40
Cost
73.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glinn and Giordano Physical Therapy Inc. Physical Therapist Current Accepting new patients
Glinn and Giordano Physical Therapy Inc. Physical Therapist CurrentSince Dec 28, 2022 Accepting new patients
Glinn and Giordano Physical Therapy Inc. Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
Glinn and Giordano Physical Therapy Inc. Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1201 23rd St
Bakersfield, CA 93301
Phone (661) 327-4357

200 China Grade Loop
Bakersfield, CA 93308
Phone (661) 615-6150

2131 G St
Bakersfield, CA 93301
Phone (661) 327-4357

3700 Gosford Rd
Ste G
Bakersfield, CA 93309
Phone (661) 832-9737

9501 Flushing Quail Rd
Ste 10
Bakersfield, CA 93312
Phone (661) 589-9066

9501 Flushing Quail Rd
Ste 810
Bakersfield, CA 93312
Phone (661) 589-9066

701 Central Valley Hwy
Ste Bc
Shafter, CA 93263
Phone (661) 237-6100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1164134201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 FLUSHING QUAIL RD STE 10",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122699",
            "telephone_number": "661-589-9066",
            "fax_number": "661-589-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FLUSHING QUAIL RD STE 10",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122699",
            "telephone_number": "661-589-9066",
            "fax_number": "661-589-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREESE",
        "first_name": "CANNON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.