JENNIFER CANNON (MPT) – Physical Therapist, NPI 1093822157

JENNIFER CANNON (MPT) is a healthcare provider. based in Littleton, Colorado. specializing in Physical Therapist. They hold the professional credentials MPT. The NPI Number for JENNIFER CANNON (MPT) is 1093822157

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER CANNON (MPT)
NPI
1093822157
Phone
(303) 932-2500
Address
5920 S ESTES ST STE 100
Enumeration Date
24 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9714075271
Graduation Year
2002 (24 years ago)
PAC ID
7618068750
Group Practice PAC ID
2264678226
Professional Enrollment ID
I20180418001478
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for JENNIFER CANNON (MPT)

  • 5920 S ESTES ST STE 100

    LITTLETON, CO 801238619

    Phone: (303) 932-2500

    Fax: (303) 932-2600

    Type: Location

  • 8389 S INDEPENDENCE CIR UNIT 306

    LITTLETON, CO 801289256

    Phone: (720) 255-9659

    Type: Mailing

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: 2018-04-18

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
I20180418001478IPhysical Therapist In Private PracticeORTBD

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
97530Therapy procedure using functional activities41933$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28532$0
97535Training for self-care or home management, each 15 minutes3114$0
97161Evaluation for physical therapy, typically 20 minutes2017$0
View full utilization report →

Insurance plans in this area (ZIP 80123)

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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: 2264678226View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
-IL
-OR
Physical Therapist In Private PracticeMI
-CA
-OR
-WA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Where can patients find JENNIFER CANNON (MPT)'s NPI?
You can confirm JENNIFER CANNON (MPT) with NPI 1093822157; it appears in the national provider directory.
Does this profile mean JENNIFER CANNON (MPT) is currently active?
Yes — JENNIFER CANNON (MPT) appears active in the national provider directory.
Can you summarize JENNIFER CANNON (MPT)'s specialty in plain language?
Clinically, the directory lists JENNIFER CANNON (MPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for JENNIFER CANNON (MPT)?
The page summarizes Littleton, Colorado for JENNIFER CANNON (MPT); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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