JEREMY CANNON PTA
NPI 1093175010
Physical Therapy Assistant in Beaufort, SC

Active since March 03, 2016
95 SEA ISLAND PKWY STE 103, BEAUFORT, SC 29907(803) 942-6412 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2022, Feb 16, 2021, Mar 3, 2016 (3 updates tracked since 2016).

About Jeremy Cannon Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY CANNON PTA (NPI 1093175010) is an individual physical therapy assistant in Beaufort, South Carolina, licensed in South Carolina (3416) and active in the NPI registry since March 2016. He maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1093175010
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameJEREMY CANNONCredential: PTA
Location Address95 SEA ISLAND PKWY STE 103Beaufort, SC 29907-1499
Mailing Address95 Sea Island Pkwy Ste 103Beaufort, SC 29907-1499 · (843) 379-3991
Sole ProprietorYes
Enumeration DateMarch 3, 2016
Last NPPES UpdateJune 11, 20223 updates tracked since enumeration
NPPES CertifiedJune 11, 2022
NPI 1093175010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in SC · 3416
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
95 SEA ISLAND PKWY STE 103, Beaufort, SC 29907

Secondary Practice Location 1

Location 11787 Allendale Fairfax HwyFairfax, SC 29827-9133 · Phone (803) 632-3773

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
95 SEA ISLAND PKWY STE 103
BEAUFORT, SC 29907
Clinic/Center (Physical Therapy)
95 SEA ISLAND PKWY STE 103
BEAUFORT, SC 29907
Clinic/Center (Physical Therapy)
95 SEA ISLAND PKWY STE 103
BEAUFORT, SC 29907

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Cannon's NPI number?

The NPI number for Jeremy Cannon is 1093175010. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Jeremy Cannon located?

Jeremy Cannon practices at 95 Sea Island Pkwy Ste 103, Beaufort, SC 29907. The listed phone number is (803) 942-6412.

What is Jeremy Cannon's specialty?

The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Cannon was last updated on June 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.