Kellie C. Cannon, DPT
NPI 1528484870ActiveIndividual· Physical Therapist, Orthopedic· Eugene, OR
Physical Therapist, Orthopedic (DPT) with Go Physical Therapy, practicing in Eugene, Oregon. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1528484870 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Mar 11, 2014 |
| Last updated in NPPES | Jan 31, 2025 |
| Certified by provider | Jun 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | 60483 | OR |
| Physical Therapist | 225100000X | 60483 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OR) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Go Physical TherapyEugene, OR · 2 clinicians
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