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KELLIE C CANNON DPT
NPI 1528484870
Physical Therapist - Orthopedic in Eugene, OR

Active since March 11, 2014Accepts Medicare Assignment
1000 RIVER RD, EUGENE, OR 97404(541) 689-0935(541) 461-6884 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kellie C Cannon Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE C CANNON DPT (NPI 1528484870) is an individual orthopedic provider in Eugene, Oregon, licensed in Oregon (60483) and active in the NPI registry since March 2014. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1528484870
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKELLIE C CANNONCredential: DPT
Location Address1000 RIVER RDEugene, OR 97404
Mailing Address1000 River RdEugene, OR 97404 · (541) 689-0935 · Fax (541) 461-6884
Phone(541) 689-0935
Fax(541) 461-6884
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 11, 2014
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJune 8, 2023
✔ NPI 1528484870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OR · 60483
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
Also ListedPhysical TherapistTaxonomy 225100000X · License 60483 (OR)
1000 RIVER RD, Eugene, OR 97404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie C Cannon Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537382056
PECOS Enrollment IDI20140530000107

Medicare Billing Reassignment

Medicare enrollment records show Kellie Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Go Physical Therapy
Same address
Physical Therapist
1000 RIVER RD
Eugene, OR 97404
  • Reassigned Medicare billing, Oregon enrollment
  • 2 clinicians in this Medicare group
NPI 1316608193 (541) 689-0935

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERI LYNN OTTERSTROM ND
Naturopath
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 688-1569
CURTIS DAVID KELLEHER LMT
Massage Therapist
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 689-0935
DR. ERIC NORBERT OTTENBREIT DPT
Physical Therapist (Orthopedic)
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 689-0935
HEALING TREE FAMILY PRACTICE, LLC
Naturopath
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 688-1569
TRACY & KEIM CHIROPRACTIC,LLC
Chiropractor
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 689-0935
GO PHYSICAL THERAPY
Physical Therapist
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 689-0935
KRISTIN RANAE BINFORD LMT
Massage Therapist
1000 RIVER RD
EUGENE, OR 97404
Lane County (541) 689-0935
PERFORMANCE PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
1000 RIVER RD, SUITE B
EUGENE, OR 97404
Lane County (541) 689-0935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Cannon's NPI number?

The NPI number for Kellie Cannon is 1528484870. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Kellie Cannon located?

Kellie Cannon practices at 1000 River Rd, Eugene, OR 97404. The listed phone number is (541) 689-0935.

What is Kellie Cannon's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kellie Cannon enrolled in Medicare?

Yes. Kellie Cannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kellie Cannon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kellie Cannon reassigns Medicare benefits to Go Physical Therapy (Eugene, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kellie Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kellie Cannon accept?

Health plans from Moda Health Plan, Inc. list Kellie Cannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Cannon was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.