Organization Active NPI

Karen Cann

  • Chiropractor
  • Gulf Breeze, FL
National Provider Identifier
1275670374
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8649 Issued in FL
Legal business name
KAREN CANN
Practice address
4657 Gulf Breeze Pkwy.
Suites a & B
Gulf Breeze, FL 32563
Phone
(850) 916-9304
Fax
(850) 916-9306
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Karen A Cann, D.C., L.P.T.
Title
Owner
Phone
(850) 916-9304

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH8649 FL Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X PT20841 FL

Addresses

Primary practice location

4657 Gulf Breeze Pkwy.
Suites a & B
Gulf Breeze, FL 32563

Mailing address

4657 Gulf Breeze Pkwy.
Suite a
Gulf Breeze, FL 32563
Phone (850) 916-9304

Other identifiers 1

IdentifierTypeStateIssuer
3821684MedicaidFL

Other names 1

  • Integrative Chiropractic & Physical Therapy Solutions, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Integrative Chiropractic Physical Therapy Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4657 Gulf Breeze Pkwy
Ste A
Gulf Breeze, FL 32563
Phone (850) 916-9304

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1275670374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY.",
            "address_2": "SUITE A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32563",
            "telephone_number": "850-916-9304",
            "fax_number": "850-916-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4657 GULF BREEZE PKWY.",
            "address_2": "SUITES A & B",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "32563",
            "telephone_number": "850-916-9304",
            "fax_number": "850-916-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN CANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CANN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-916-9304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., L.P.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8649",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20841",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3821684",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Chiropractic & Physical Therapy Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.