Randy T Cannon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000001415 Issued in TN

Practice address

785 US Hwy 321 N
Ste 20
Lenoir City, TN 37771

Phone

(865) 986-6611

Fax

(865) 988-6904

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

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.

• Aacet, Inc

  dba Appalachian Therapy Center

  • Physical Therapist
  • Maryville, TN
  • NPI 1972751832
  NPD (past)
• Aacet, Inc.

  dba Appalachian Therapy Center

  • Rehabilitation Clinic/Center
  • Maryville, TN
  • NPI 1053332148
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295803799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6167",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378026167",
            "telephone_number": "865-977-8007",
            "fax_number": "865-977-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 US HWY 321 N",
            "address_2": "STE 20",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37771",
            "telephone_number": "865-986-6611",
            "fax_number": "865-988-6904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "RANDY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000001415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lea Byrd, FNP-C, MSN, RN
• Jessica Cagle, BS
• Kelly Ann Caldwell-Chor, MD
• Cameron Company Medical Equipment, LLC
• Alexandra Caroline Campanile, BA, MMS
• Bethany Ann Capehart, M.S. CCC- SLP
• Caris Healthcare
• Brookelyn Carr, B.A.
• Cheryl S. Cason, CPHT
• Vivol Elizabeth Catchot, LCSW

• Physical Therapist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Physical Therapist in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.