Eugene Cannon III

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT028329 Issued in PA

Practice address

785 Cherry Tree CT
Hanover, PA 17331-7902

Phone

(717) 316-7030

NPI assigned

Feb 6, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1336771401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 CHERRY TREE CT",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173317902",
            "telephone_number": "717-316-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "EUGENE",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eugcannon@selectmedical.com",
            "affiliation": "N",
            "address_1": "785 Cherry Tree Ct",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173317902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Michael Calder, FNP-C
• Terrence M Calder, M.D.
• Bonnie Marie Calhoun, M.S., CCC-SLP
• Amanda Christine Campbell, CCC-SLP
• Richard M Campbell, MA
• Cardiovascular Specialists of York LLC
• Richard E Carlson, PH.D.
• Stacie Carrillo, PAC
• Joanne Chan, M.D.
• Leah Katherine Chan, OTR/L

• Physical Therapist in Hanover, PA
• Providers in Hanover, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.