BENJAMIN MORRIS GANNON ATC
NPI 1285171132
Specialist/Technologist - Athletic Trainer in Sioux Falls, SD

Q: What is Benjamin Gannon's NPI number?

The NPI number for Benjamin Gannon is 1285171132. It was assigned to this individual provider in the NPPES registry on January 30, 2017.

Q: What is Benjamin Gannon's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Gannon was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since January 30, 2017

810 E 23RD ST, SIOUX FALLS, SD 57105(605) 331-5890 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2024, Jan 30, 2017 (2 updates tracked since 2017).

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About Benjamin Morris Gannon Atc NPPES

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

BENJAMIN MORRIS GANNON ATC (NPI 1285171132) is an individual athletic trainer provider in Sioux Falls, South Dakota, licensed in South Dakota (0724) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1285171132

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameBENJAMIN MORRIS GANNONCredential: ATC

Location Address810 E 23RD STSioux Falls, SD 57105-2135

Mailing Address1112 W 27th StSioux Falls, SD 57105-2707 · (510) 220-7760

Phone(605) 331-5890

Sole ProprietorYes

Enumeration DateJanuary 30, 2017

Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2024

✔ NPI 1285171132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in SD · 0724

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

810 E 23RD ST, Sioux Falls, SD 57105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

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