Kristin Cannon, OTR
Individual provider Active NPI Occupational Therapist · Noblesville, IN
NPI 1396370474 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1396370474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 7235 Riverwalk Way N
Noblesville, IN 46062-7001 - Phone
- (317) 214-4307
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fox Rehab Indiana LLC
Practice addresses (Care Compare)
Carmel, IN 46033
Phone (877) 407-3422
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241004001366 | IN | Practitioner - Occupational Therapist in Private Practice | 7719418466 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Indiana LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
14901 Carey Rd
Carmel, IN 46033
7 Carnegie Plz
Cherry Hill, NJ 08003
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | IN | Yes |
Addresses
Primary practice location
7235 Riverwalk Way N
Noblesville, IN 46062-7001
Mailing address
5488 Pennycress Dr
Noblesville, IN 46062-0009
Phone (812) 661-0904
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31003191 | Other | IN | MEDICARE B |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | KCannon1@5ssl.com | Direct | |
| Direct Messaging Address | KCannon1@5ssl.com | Direct |
Other providers in Noblesville, IN
- Alejandro Campos
- Cancer Care Group, P.C.
- Cancer Rehab Group LLC
- Nathaniel Canillas
- Colt Keith Cannon
- Misty Cannon
- Braca Benizry Cantor
- Cardiosom, LLC
- Hayley Marie Carey
- Jami Carey
All providers in Noblesville, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.