Theodore Gannon, L. AC.
NPI 1164634192 · Physical Therapy Assistant · Fort Lauderdale, FL
Theodore Gannon, L. AC. is a Physical Therapy Assistant provider in Fort Lauderdale, FL (NPI 1164634192).
Provider details
- NPI number
- 1164634192
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L. AC.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1863 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2023-01-17
- Certified
- 2023-01-17
Frequently asked questions
- What is Theodore Gannon's NPI number?
- Theodore Gannon's National Provider Identifier (NPI) is 1164634192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Gannon's specialty?
- Theodore Gannon is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Theodore Gannon located?
- Theodore Gannon's practice location on file with NPPES is 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603.
- What is Theodore Gannon's phone number?
- The practice phone number listed in the NPPES registry for Theodore Gannon is (954) 229-7908.
- Is Theodore Gannon's NPI active?
- Yes — Theodore Gannon's NPI (1164634192) is active in the NPPES registry as of the last update on 2023-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.