IndividualActive
Angela Cannon, PT
NPI 1831314871 · Physical Therapist · Lucedale, MS
Provider details
- NPI number
- 1831314871
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT0748 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
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
2210 Mill Street Ext # B
Lucedale, MS 39452-6064
Phone: (601) 947-9005
Fax: (601) 947-9007
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8419
Biloxi, MS 39535-8087
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2009-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.