Individual provider Active NPI

Jenna Cannaday, PT, DPT

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1467094177
Registry record updated Jul 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP044911T Issued in MT
Practice address
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone
(406) 771-3095
NPI assigned
Oct 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2305212535 VA
Physical Therapist 225100000X CP044911T MT Primary

Addresses

Primary practice location

3010 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

3010 15TH Ave S
Great Falls, MT 59405-5240

Other practice location 1

12970 Booker T Washington Hwy
Hardy, VA 24101-3953
Phone (540) 719-7350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200116001370 VA Practitioner - Physical Therapist in Private Practice 9830524040 Reassigns benefits to 1 organization
I20250714003552 MT Practitioner - Physical Therapist in Private Practice 9830524040 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305212535VAMDPhysical Medicine & Rehabilitation Physician
CP044911TMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Healthcare Corporation CurrentSince Jan 29, 2020 Accepting new patients
CMSC, LLC CurrentSince Jul 29, 2025 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 29, 2020 Accepting new patients

Locations

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

12970 Booker T Washington Hwy
Hardy, VA 24101
Phone (540) 489-6368

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

1935 W Main St
Salem, VA 24153
Phone (540) 302-0190

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752364800000",
    "number": "1467094177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "406-771-3095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12970 Booker T Washington Hwy",
            "address_purpose": "LOCATION",
            "city": "Hardy",
            "state": "VA",
            "postal_code": "241013953",
            "country_code": "US",
            "telephone_number": "540-719-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNADAY",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-14",
        "last_updated": "2025-07-13",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "2305212535",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "CP044911T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; 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.

Verify at the official NPI Registry.