ANDREW CANNON (NPI# 1912144676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912144676 |
| Entity Type | Individual |
| Full Name | ANDREW CANNON |
| Credential | PT, SCS |
| Practice Address |
70 Butler Street Salem NH 03079 |
| Practice Telephone | 6038932900 |
| Practice Fax Number | 6038931628 |
| Mailing Telephone | 6038932900 |
| Mailing Fax Number | 6038931628 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2015-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
4830 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
4830 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639699093 | Andrew Cannon | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2017-06-26 |
| 1255880704 | Andrew Cannon | Pharmacist | 131 10th St, Evanston, WY 82930-3421 | 2016-09-26 |
| 1942619176 | Andrew Cannon | Physical Therapist | 4620 S 50th St, Omaha, NE 68117-1373 | 2014-08-13 |
| 1396170809 | Andrew Scott Cannon | Physical Therapist | 170 N Pointe Blvd, Lancaster, PA 17601-4132 | 2013-09-04 |
| 1053567263 | Andrew Adam Cannon | Anesthesiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2008-08-07 |
| 1124211370 | Andrew Charles Cannon | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-08-21 |
| Street Address |
70 BUTLER STREET |
| City | SALEM |
| State | NH |
| Zip Code | 03079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114990314 | Kelli Hayes Baron | Physical Therapist | 70 Butler Street, Salem, NH 03079-3974 | 2006-02-08 |
| 1831558311 | Meaghan O'donnell | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2016-02-12 |
| 1023477502 | Callie Lynne Schena | Occupational Therapist | 70 Butler Street, Salem, NH 03079 | 2016-02-12 |
| 1063870939 | Salvatore Bottaro | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2016-02-05 |
| 1457717373 | Karen D. Sullivan | Occupational Therapist | 70 Butler Street, Salem, NH 03079 | 2016-01-07 |
| 1346606373 | Urvika A. Patel | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2016-01-06 |
| 1104281542 | Nancy Desouza | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2015-12-30 |
| 1033574496 | Allison O'malley | Occupational Therapist | 70 Butler Street, Salem, NH 03079 | 2015-12-29 |
| 1922463561 | Kalliope Micalizzi | Physical Therapist | 70 Butler Street, Salem, NH 03079 | 2015-12-28 |
| 1811352594 | Cassandra Ann Gaffny | Speech-Language Pathologist | 70 Butler Street, Salem, NH 03079 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760464887 | Paul Durant Stoneman | Physical Therapist | 555 West Sr 164, Salem, UT 84653 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295160844 | Tarryn N. Schneider | Physical Therapist | 590 Court St, Keene, NH 03431 | 2013-09-13 |
| 1568706026 | Stephen Engelhardt | Physical Therapist | 30 Colby Ct, Bedford, NH 03110-6426 | 2012-11-21 |
| 1114145794 | The Center for Bodies In Balance, LLC | Physical Therapist | 1 Greenleaf Woods Dr, Suite 101, Portsmouth, NH 03801-5437 | 2007-04-21 |
| 1568533834 | Brandt Capone | Physical Therapist | 17 Riverside St, Ste 203, Nashua, NH 03062-1304 | 2006-11-10 |
Please comment or provide details below to improve the information on ANDREW CANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.