Lead the Pack Physiotherapy Corp

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LEAD THE PACK PHYSIOTHERAPY CORP

Practice address

873 Stevens Ave Apt 3202
Solana Beach, CA 92075-2705

Phone

(858) 252-8067

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Patrick Cannon, PT, DPTNPI 1417464587

Title

President

Phone

(858) 252-8067

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Cannon

  • Physical Therapist
  • Towson, MD
  • NPI 1417464587
  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1679100242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 STEVENS AVE APT 3202",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752705",
            "telephone_number": "858-252-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 STEVENS AVE APT 3202",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752705",
            "telephone_number": "858-252-8067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAD THE PACK PHYSIOTHERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-252-8067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinton Chad Larson, N.M.D., D.C.
• Page M Lauer, MFT
• Larry Laveman, LCSW
• Teri Lawton, PH.D.
• Christine Le
• Anita Lee, LAC
• Karen Lee, M.D.
• Michael David Leiderman
• Shannon Lerach, PH.D.
• Erin Illene Lester, M.D.

• Physical Therapy Clinic/Center in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.