Active NPI
Cayla Paige Cannon, PT
- Physical Therapist
- Oak Ridge, TN
National Provider Identifier
1326551771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11325
- Practice address
- 200 Bus Terminal Rd
Oak Ridge, TN 37830-6928 - Phone
- (865) 406-7129
- Fax
- (865) 951-7273
- NPI assigned
- Nov 8, 2017
- 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 | 11325 | TN | Primary |
Addresses
Primary practice location
200 Bus Terminal Rd
Oak Ridge, TN 37830-6928
Mailing address
3243 Heritage Cir
Hendersonville, NC 28791-3553
Phone (828) 713-0560
Other practice location 1
8024 Gleason Dr
Knoxville, TN 37919-5586
Phone (865) 406-7129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q033325 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230515003201 | TN | Practitioner - Physical Therapist in Private Practice | 9032575105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11325 | TN | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Tennessee Valley Educational Cooperative | Past | Accepting new patients | |
| Speech Pathology Services of East Tennessee LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Loudon, TN
- NPI 1114256039
-
- Rehabilitation Clinic/Center
- Maryville, TN
- NPI 1659466712
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1326551771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 HERITAGE CIR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287913553",
"telephone_number": "828-713-0560",
"fax_number": "865-951-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUS TERMINAL RD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306928",
"telephone_number": "865-406-7129",
"fax_number": "865-951-7273"
}
],
"practiceLocations": [
{
"address_1": "8024 Gleason Dr",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379195586",
"country_code": "US",
"telephone_number": "865-406-7129",
"fax_number": "865-951-7273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "CAYLA",
"middle_name": "PAIGE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "11325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q033325",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.