Jeremy Cannon, PTA
NPI 1093175010 · Physical Therapy Assistant · Beaufort, SC
Jeremy Cannon, PTA is a Physical Therapy Assistant provider in Beaufort, SC (NPI 1093175010).
Provider details
- NPI number
- 1093175010
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3416 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1787 Allendale Fairfax HwyFairfax, SC 29827-9133Phone: (803) 632-3773
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2022-06-11
- Certified
- 2022-06-11
Frequently asked questions
- What is Jeremy Cannon's NPI number?
- Jeremy Cannon's National Provider Identifier (NPI) is 1093175010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Cannon's specialty?
- Jeremy Cannon is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jeremy Cannon located?
- Jeremy Cannon's practice location on file with NPPES is 95 Sea Island Pkwy Ste 103, Beaufort, SC 29907-1499.
- What is Jeremy Cannon's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Cannon is (803) 942-6412.
- Is Jeremy Cannon's NPI active?
- Yes — Jeremy Cannon's NPI (1093175010) is active in the NPPES registry as of the last update on 2022-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.