MR. THEODORE WILLIAM GANNON L. AC.
NPI 1164634192
Physical Therapy Assistant in Fort Lauderdale, FL

Active since May 03, 2007
4725 N FEDERAL HWY, FORT LAUDERDALE, FL 33308(954) 229-7908 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Theodore William Gannon L. Ac. NPPES

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

MR. THEODORE WILLIAM GANNON L. AC. (NPI 1164634192) is an individual physical therapy assistant in Fort Lauderdale, Florida, licensed in Ohio (007468) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164634192
Entity TypeIndividualMale
Primary Taxonomy225200000X
Provider Legal NameMR. THEODORE WILLIAM GANNONCredential: L. AC.
Location Address4725 N FEDERAL HWYFort Lauderdale, FL 33308-4603
Mailing Address1648 Curry DrLyndhurst, OH 44124-2762 · (330) 591-0287
Sole ProprietorYes
Enumeration DateMay 3, 2007
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
NPI 1164634192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License Licensed in OH · 007468
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.
Also ListedAcupuncturistTaxonomy 171100000X · License 1863 (FL)
4725 N FEDERAL HWY, Fort Lauderdale, FL 33308

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Nurse Anesthetist, Certified Registered
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Emergency Medicine
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Nurse Practitioner (Acute Care)
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Student in an Organized Health Care Education/Training Program
4725 N FEDERAL HWY
FORT LAUDERDALE, FL 33308
Specialist
4725 N FEDERAL HWY
FT LAUDERDALE, FL 33308
Internal Medicine (Cardiovascular Disease)
4725 N FEDERAL HWY, SUITE 401
FORT LAUDERDALE, FL 33308

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 Theodore Gannon's NPI number?

The NPI number for Theodore Gannon is 1164634192. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Theodore Gannon located?

Theodore Gannon practices at 4725 N Federal Hwy, Fort Lauderdale, FL 33308. The listed phone number is (954) 229-7908.

What is Theodore Gannon'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 Theodore Gannon was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.