DR. TREVOR M CANNON DPT
NPI 1649959552
Physical Therapist - Orthopedic in Midvale, UT

Active since July 17, 2023Accepts Medicare Assignment
6717 S 900 E STE 201, MIDVALE, UT 84047(801) 649-4690 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 20, 2025, Jul 17, 2023 (2 updates tracked since 2023).

About Dr. Trevor M Cannon Dpt NPPES

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

DR. TREVOR M CANNON DPT (NPI 1649959552) is an individual orthopedic provider in Midvale, Utah, licensed in Utah (13464853-2401) and active in the NPI registry since July 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1649959552
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. TREVOR M CANNONCredential: DPT
Location Address6717 S 900 E STE 201Midvale, UT 84047-5755
Mailing Address9070 W Cheyenne Ave Ste 100Las Vegas, NV 89129-8935 · (702) 818-5000 · Fax (702) 818-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 17, 2023
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1649959552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in UT · 13464853-2401
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.
6717 S 900 E STE 201, Midvale, UT 84047

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Trevor M 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 ID7315309317
PECOS Enrollment IDI20230808001460

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
290 services22 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
290 services23 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
198 services19 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
153 services19 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
58 services11 patients

Other Providers at the Same Location NPPES 3

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

Physical Therapist (Orthopedic)
6717 S 900 E STE 201
MIDVALE, UT 84047
Physical Therapist
6717 S 900 E STE 201
MIDVALE, UT 84047
Physical Therapist
6717 S 900 E STE 201
MIDVALE, UT 84047

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 Trevor Cannon's NPI number?

The NPI number for Trevor Cannon is 1649959552. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Trevor Cannon located?

Trevor Cannon practices at 6717 S 900 E Ste 201, Midvale, UT 84047. The listed phone number is (801) 649-4690.

What is Trevor Cannon's specialty?

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

Is Trevor Cannon enrolled in Medicare?

Yes. Trevor 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.

What insurance does Trevor Cannon accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Trevor 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 Trevor Cannon was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.