CANNON CREESE (DPT) – Physical Therapist, NPI 1164134201

CANNON CREESE (DPT) is a healthcare provider. based in Bakersfield, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 303414 (CA). The NPI Number for CANNON CREESE (DPT) is 1164134201

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
CANNON CREESE (DPT)
NPI
1164134201
Phone
(661) 589-9066
Address
9501 FLUSHING QUAIL RD STE 10
Enumeration Date
20 December 2022
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6615899066
Graduation Year
2022 (4 years ago)
PAC ID
1951774843
Group Practice PAC ID
7012995913
Professional Enrollment ID
I20230223001069
Address ID
CA933122698BA9501XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for CANNON CREESE (DPT)

  • 9501 FLUSHING QUAIL RD STE 10

    BAKERSFIELD, CA 933122699

    Phone: (661) 589-9066

    Fax: (661) 589-4209

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230223001069IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3,484211$0
97530Therapy procedure using functional activities64896$0
97140Therapy procedure using manual technique, each 15 minutes17156$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care15639$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13128$0
View full utilization report →

Insurance plans in this area (ZIP 93312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012995913View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
-CA
-CA
Occupational Therapist In Private PracticeMT
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is the standard ID for CANNON CREESE (DPT) in the U.S.?
In the U.S., CANNON CREESE (DPT) is identified by NPI 1164134201.
Is CANNON CREESE (DPT) currently accepting referrals based on NPI status?
Registry metadata lists CANNON CREESE (DPT) as active.
Which specialty label fits CANNON CREESE (DPT)?
NPPES ties CANNON CREESE (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to CANNON CREESE (DPT)?
CANNON CREESE (DPT) is associated with Bakersfield, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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