MR. THEODORE WILLIAM GANNON (L. AC.) – Physical Therapy Assistant, NPI 1164634192

MR. THEODORE WILLIAM GANNON (L. AC.) is a healthcare provider. based in Lyndhurst, Ohio. specializing in Physical Therapy Assistant. They hold the professional credentials L. AC.. They hold a License No. 1863 (FL). The NPI Number for MR. THEODORE WILLIAM GANNON (L. AC.) is 1164634192

Main info

Male
Sole Proprietor
Name
MR. THEODORE WILLIAM GANNON (L. AC.)
NPI
1164634192
Phone
(330) 591-0287
Address
1648 CURRY DR
Enumeration Date
3 May 2007
Last Update Date
17 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MR. THEODORE WILLIAM GANNON (L. AC.)

  • 1648 CURRY DR

    LYNDHURST, OH 441242762

    Phone: (330) 591-0287

    Type: Mailing

  • North Federal Highway, Fort Lauderdale, Broward County, Florida, 33394, United States

    FORT LAUDERDALE, FL 333084603

    Phone: (954) 229-7908

    Type: Location

  • Northwest 46th Street, Fort Lauderdale, Broward County, Florida, 33309, United States

    FORT LAUDERDALE, FL 333094008

    Phone: (954) 958-0859

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44124)

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Reviews

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Frequently asked questions

What federal number belongs to MR. THEODORE WILLIAM GANNON (L. AC.)?
The federal identifier for MR. THEODORE WILLIAM GANNON (L. AC.) is NPI 1164634192.
Is MR. THEODORE WILLIAM GANNON (L. AC.) active in the national directory?
MR. THEODORE WILLIAM GANNON (L. AC.)'s public NPI profile is in an active state.
What kind of provider is MR. THEODORE WILLIAM GANNON (L. AC.)?
The page reflects Physical Therapy Assistant for MR. THEODORE WILLIAM GANNON (L. AC.). Clinical services aligned with this taxonomy classification.
Does MR. THEODORE WILLIAM GANNON (L. AC.) practice in Ohio?
You will see Lyndhurst, Ohio on file for MR. THEODORE WILLIAM GANNON (L. AC.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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