DERRICK CANNON (NPI# 1598192312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598192312 |
| Entity Type | Individual |
| Full Name | DERRICK CANNON |
| Credential | PT, DPT |
| Practice Address |
398 Hamilton Ave Fairbanks AK 99701-3537 |
| Practice Telephone | 9073744911 |
| Mailing Telephone | 9073744911 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2017-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PHYP2677 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057149 | Derrick Cannon I | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| Street Address |
398 HAMILTON AVE |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701-3537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573952 | Traci Lynn Roon | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2007-01-16 |
| 1043864424 | John A Schofield | Speech-Language Pathologist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2019-07-24 |
| 1598227837 | Brynn Noelle Caslavka | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701 | 2019-04-04 |
| 1336627991 | Lindsey Nicole Cooper | Occupational Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2018-08-04 |
| 1619478682 | Nakea Jackson | Physical Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2018-02-26 |
| 1376060376 | Rebecca Schichtel | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-29 |
| 1386161388 | Eric Ahrns | Physical Therapist | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-29 |
| 1891212577 | Janette Daniels | Physical Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-08-24 |
| 1992242101 | Shawna Bailey | Occupational Therapy Assistant | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2017-01-25 |
| 1366984650 | Building Blocks Speech Therapy, LLC | Clinic/Center | 398 Hamilton Ave, Fairbanks, AK 99701-3537 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649745894 | Sonia A Sanchez Paredes | Physical Therapist | 1275 Sadler Way Ste 201, Fairbanks, AK 99701-3175 | 2018-10-03 |
| 1194213454 | Christine Coyle | Physical Therapist | 544 4th Ave Ste 102, Fairbanks, AK 99701-4714 | 2018-04-23 |
| 1922511427 | Elizabeth Anne Vandermeer | Physical Therapist | 3677 College Rd Ste 13, Fairbanks, AK 99709-3732 | 2017-11-07 |
| 1487100616 | Kevin Buffham | Physical Therapist | 1919 Lathrop St Ste 123, Fairbanks, AK 99701-5937 | 2016-08-28 |
| 1871831032 | Arctic Physical Therapy and Rehabilitation Fairbanks LLC | Physical Therapist | 330 Old Steese Hwy, Fairbanks, AK 99701-3126 | 2013-01-23 |
| 1396014056 | Heini Maisala-mcdonnell | Physical Therapist | 2775 Mack Blvd, Fairbanks, AK 99709-4004 | 2011-12-23 |
| 1922396357 | Fairbanks Physical Therapy LLC | Physical Therapist | 1755 Westwood Way, Suite 7, Fairbanks, AK 99709-4064 | 2011-07-19 |
| 1205150133 | Pedro Castex | Physical Therapist | 1275 Sadler Way Ste 200, Fairbanks, AK 99701-3175 | 2010-03-22 |
| 1932346244 | Edward Axman | Physical Therapist | 3455 Rewak Dr Ste 106, Fairbanks, AK 99709-5024 | 2009-01-09 |
| 1124157409 | Brenda Faye Cross Birdsall | Physical Therapist | 521 Illinois St, Fairbanks, AK 99701-2914 | 2007-03-05 |
| Find all providers in FAIRBANKS | ||||
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| 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.