YOUNG CANNON (NPI# 1134572779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134572779 |
| Entity Type | Individual |
| Full Name | YOUNG CANNON |
| Credential | LMT |
| Practice Address |
2142 Ne 123rd St North Miami FL 33181-2902 |
| Mailing Address |
300 Sw 97th Ter Pembroke Pines FL 33025-1074 |
| Practice Telephone | 3059678976 |
| Mailing Telephone | 9548827276 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60752 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2142 NE 123RD ST |
| City | NORTH MIAMI |
| State | FL |
| Zip Code | 33181-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396809141 | Rachel Allyssa Cohen | Specialist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2006-12-19 |
| 1902431463 | Diana Gil-triana | Physical Therapy Assistant | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2020-03-05 |
| 1083262679 | Brittany Inerfeld | Physical Therapist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2019-08-28 |
| 1578074001 | Ronda Livingston | Physical Therapy Assistant | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2017-10-24 |
| 1770037780 | Mahitha Reddy | Physical Therapist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2016-08-08 |
| 1447624382 | Christopher Gill | Physical Therapy Assistant | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2015-11-16 |
| 1457759573 | Kyle Kusunose | Physical Therapist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2014-12-06 |
| 1790182616 | Bg Mancini | Acupuncturist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2014-11-20 |
| 1942614540 | Florida Holistic Medicine | Acupuncturist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2014-06-12 |
| 1003164674 | Oded Schneiderman | Acupuncturist | 2142 Ne 123rd St, North Miami, FL 33181-2902 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586553 | Roberto M Molina | Physical Therapist | 2640 Ne 135th St Apt 207, North Miami, FL 33181 | 2020-04-01 |
| 1225676240 | Alexander M. Matz P.a. | Physical Therapist | 2240 N.e. 123rd Street, North Miami, FL 33181 | 2019-12-20 |
| 1427586858 | Barbara Machado | Behavioral Analyst | 2254 Ne 136th Terra, North Miami Beach, FL 33181 | 2017-05-30 |
| 1003350026 | Yuma Jean Louis | Behavior Technician | 14895 Ne 18th Ave, North Miami, FL 33181 | 2016-12-09 |
| 1417302381 | Canga Group Inc | Durable Medical Equipment & Medical Supplies | 12555 Biscayne Blvd Ste 950, Miami, FL 33181 | 2016-04-28 |
| 1912367798 | Taly Kadoch | Counselor | 1966 Ne 125th Street, #210, Miami, FL 33181 | 2016-03-07 |
| 1972974699 | Mireille Cange | Nurse Practitioner | 11645 Biscayne Blvd Ste 308, North Miami, FL 33181 | 2015-10-08 |
| 1770959371 | Ushc | Massage Therapist | 1966 Ne 123rd Street, #210, Miami, FL 33181 | 2015-08-18 |
| 1497178834 | Dentalvana | Dentist | 12417 Biscayne Blvd, North Miami, FL 33181 | 2014-01-21 |
| 1720419443 | David Jativa | Internal Medicine | 14358 Biscayne Blvd, North Miami, FL 33181 | 2013-12-05 |
| Find all providers in zip 33181 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619581311 | Crystal Clark | Massage Therapist | 12506 Ne 4th Ave Apt 101, North Miami, FL 33161-4668 | 2020-09-01 |
| 1669974952 | Michie Antonia Alvaro | Massage Therapist | 10820 Ne 11th Ct, North Miami, FL 33161-7310 | 2018-03-02 |
| 1912415639 | Orlando R Guirado Sr. | Massage Therapist | 14322 Ne 18th Ave, North Miami, FL 33181-1402 | 2018-01-16 |
| 1114237831 | Quantum Theraptutics, Inc. | Massage Therapist | 640 Ne 124 St, North Miami, FL 33161 | 2010-10-15 |
| 1144530072 | Lucy Hidalgo | Massage Therapist | 2138 N.e 123 Street, Esencia Day Spa, North Miami, FL 33181 | 2010-10-13 |
| 1770896383 | Sabine Dessources | Massage Therapist | 365 Nw 129th St, North Miami, FL 33168-3701 | 2010-07-24 |
| 1689903874 | Monica S Steffens | Massage Therapist | 1855 Ne 121st St, North Miami, FL 33181-2858 | 2009-12-16 |
| 1356594006 | Mela Therapeutics, Inc. | Massage Therapist | 20754 West Dixie Hwy, North Miami, FL 33180 | 2008-10-28 |
| 1821278243 | Alex Corgelas | Massage Therapist | 1285 Ne 137th Ter, North Miami, FL 33161-3420 | 2007-11-14 |
| 1184814121 | Gennadiy Zelfman | Massage Therapist | 13220 Biscayne Blvd, North Miami, FL 33181-2040 | 2007-07-26 |
| Find all providers in NORTH MIAMI | ||||
| City | NORTH MIAMI |
| Zip Code | 33181 |
Please comment or provide details below to improve the information on YOUNG CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.