Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Candace Cunningham

Individual provider Physical Therapist · NPI 1457967622

Candace Cunningham is a Physical Therapist in Private Practice in Saint Charles, Missouri. Qualified in 2020, 6 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
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Practice location Address checks out

1348 Bass Pro Dr
Saint Charles, MO 63301-2461
Phone: (636) 757-5075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2020025044 (MO)

Record details

NPI number1457967622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Charles