Ryan Cannon (NPI# 1417464587, PAC ID# 1254692684) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1417464587 |
| PAC ID by PECOS | 1254692684 |
| Professional Enrollment ID | I20180228001391 |
| Full Name | Ryan Cannon |
| Organization Legal Name | SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION LLC |
| Address |
1015 S Governors Ave Dover DE 19904-6901 |
| Phone Number | 3027304800 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1658369533 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1015 S Governors Ave, Dover, DE 19904-6901 | 3027304800 | SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION LLC |
| Organization Legal Name | SOUTHERN DELAWARE SPORTSCARE AND REHABILITATION LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Holcombe | Physical Therapy | Southern Delaware Sportscare and Rehabilitation LLC | 1211 Churchmans Rd, Newark, DE 19713-2149 |
| Jeff M Daly | Physical Therapy | Southern Delaware Sportscare and Rehabilitation LLC | 29 N Atlantic Ave, Ocean View, DE 19970-9155 |
| Daniel F Speciale Jr. | Physical Therapy | Southern Delaware Sportscare and Rehabilitation LLC | 120 Sandhill Dr, Middletown, DE 19709-5806 |
| Julie M Knowles | Physical Therapy | Southern Delaware Sportscare and Rehabilitation LLC | 120 Sandhill Dr, Middletown, DE 19709-5806 |
| Street Address |
1015 S GOVERNORS AVE |
| City | DOVER |
| State | DE |
| Zip | 19904-6901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Purvi Shahi | Physical Therapy | Dynamic Therapy Services LLC | 1015 S Governors Ave, Dover, DE 19904-6901 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahid Aslam | Obstetrics/gynecology | Amna Medical Center, LLC | 1095 S Bradford St, Dover, DE 19904-1095 |
| Kirill Alekseyev | Physical Medicine and Rehabilitation | Pam Physician Enterprise | 1240 Mckee Rd, Dover, DE 19904-1381 |
| Elaine D Smith | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Wilbur Belen | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Kathleen S White | Qualified Speech Language Pathologist | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Prasantha K Gopinatha Pillai | Physical Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Alicia M Rojas | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Lynn A Dietrich | Occupational Therapy | Select Rehabilitation LLC | 1175 Mckee Rd, Dover, DE 19904-2268 |
| Peter B Appel | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Mary Elizabeth Vaughn Moor | Psychologist, Clinical | Appel and Wilson, LLC | 24 Hiawatha Ln, Dover, DE 19904-2401 |
| Find all physicians in zip 19904 | |||
| City | DOVER |
| Zip Code | 19904 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DOVER + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.