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

Individual provider Physical Therapist · NPI 1528484870

Kellie C Cannon, DPT is a Physical Therapist in Private Practice in Eugene, Oregon. Qualified in 2013, 13 years ago. Practices with Go Physical Therapy, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1000 River Rd
Eugene, OR 97404
Phone: (541) 689-0935
Fax: (541) 461-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 60483 (OR)
Physical Therapist Taxonomy 225100000X · Licence 60483 (OR)

Record details

NPI number1528484870
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 11, 2014
Last updated in NPPESJanuary 31, 2025
Certification dateJune 8, 2023
Mailing address1000 River Rd, Eugene, OR 97404

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Go Physical Therapy — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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