Active NPIIndividual providerSole proprietor

Andrew Cannon, PT, SCS

Physical Therapist, Sports in Salem, New Hampshire

NPI Number1912144676
Practice location
70 Butler Street, Salem, NH 03079
Fax
603-893-1628
Last updated
September 25, 2015

Andrew Cannon is a Physical Therapist, Sports based in Salem, NH. Andrew Cannon practices in Salem, NH and has the professional credentials of PT, SCS. The NPI Number for Andrew Cannon is 1912144676 and holds a License No. 4830 (MA). The current practice location address for Andrew Cannon is 70 Butler Street, Salem, NH 03079 and can be reached out via phone at 603-893-2900 and via fax at 603-893-1628.

Provider Profile Details

NPI Number
1912144676
Provider Name
Andrew Cannon
Credential
PT, SCS
Provider Entity Type
Individual
Gender
Male
Address
70 Butler Street, Salem, NH 03079
Phone Number
603-893-2900
Fax Number
603-893-1628
Primary Taxonomy
Physical Therapist, Sports · 2251S0007X
Sole Proprietor
Yes
Provider Enumeration Date
January 15, 2009
Last Update Date
September 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
70 Butler Street
Salem, NH 03079
City
Salem
Zip
03079
Phone Number
603-893-2900
Fax Number
603-893-1628
Salem, NH 03079Get directions →

Provider Business Mailing Address Details

Address
70 Butler Street
Salem, NH 03079
City
Salem
State
NH
Zip
03079
Phone Number
603-893-2900
Fax Number
603-893-1628

License Information

License Number (1)
4830
License State (1)
MA
Taxonomy (1)
Physical Therapist, Sports · 2251S0007X · Primary
License Number (2)
4830
License State (2)
MA
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapist, Sports providers near Salem, NH

View all Physical Therapist, Sports providers in Salem →

Frequently Asked Questions

What is the NPI number of Andrew Cannon, PT, SCS?

The NPI number of Andrew Cannon, PT, SCS is 1912144676. It was assigned on January 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Andrew Cannon, PT, SCS?

Andrew Cannon, PT, SCS is registered under the primary taxonomy Physical Therapist, Sports (code 2251S0007X), licensed in MA under license number 4830.

Where does Andrew Cannon, PT, SCS practice?

The practice location is 70 Butler Street, Salem, NH 03079. The office can be reached at 603-893-2900 (phone) or 603-893-1628 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912144676 directly on the NPPES registry website.

Browse related providers