Johnathan Ledel Gannaway, DPT in Hixson, TN - Medicare Physical Therapist In Private Practice Provider

Johnathan Ledel Gannaway, DPT is a medicare enrolled "Physical Therapist" provider in Hixson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2006 and has 20 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Mcm Rehabilitation Llc, Mcm Rehabilitation Llc and his current practice location is 2125 Northpoint Blvd, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 875-3376.

Johnathan Ledel Gannaway is licensed to practice in Tennessee (license number 7565) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588765275.

Contact Information

	Johnathan Ledel Gannaway, DPT
	2125 Northpoint Blvd, Hixson, TN 37343-4072
	(423) 875-3376
	(423) 875-3451

Map and Direction

Healthcare Provider's Profile

Full Name	Johnathan Ledel Gannaway
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	20 Years
Location	2125 Northpoint Blvd, Hixson, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johnathan Ledel Gannaway attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2006

NPI Data:

NPI Number: 1588765275
Provider Enumeration Date: 09/26/2006
Last Update Date: 06/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8628256849
Enrollment ID: I20110912000587

Medical Identifiers

Medical identifiers for Johnathan Ledel Gannaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588765275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	7565 (Tennessee)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mcm Rehabilitation Llc	5294798336	47
Mcm Rehabilitation Llc	5294798336	47

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Johnathan Ledel Gannaway allows following entities to bill medicare on his behalf.

Provider Name	Mcm Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538226840 PECOS PAC ID: 5294798336 Enrollment ID: O20110826000205

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Johnathan Ledel Gannaway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Johnathan Ledel Gannaway, DPT 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: () -	Johnathan Ledel Gannaway, DPT 2125 Northpoint Blvd, Hixson, TN 37343-4072 Ph: (423) 875-3376

Reviews and Comments

Physical Therapist in Hixson, TN

Ann R Cupo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1029 Executive Dr, Suite 101, Hixson, TN 37343 Phone: 423-870-1289 Fax: 423-870-6861
Mrs. Yvonne Jeanette Coulter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5035 Hixson Pike, Suite 129, Hixson, TN 37343 Phone: 423-521-4997 Fax: 423-521-4999
Miss Margaret Ellen Leighty, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 Northpoint Blvd., North River Physical Therapy, Hixson, TN 37343 Phone: 423-875-3376 Fax: 423-875-3451
Gary S Carlson, DPT,MS,SCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2125 Northpoint Blvd, Hixson, TN 37343 Phone: 423-875-3376
Erin Burke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2177 Northpoint Blvd Ste 101, Hixson, TN 37343 Phone: 423-870-1289 Fax: 423-877-6861
Bounceback Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1771 E Boy Scout Rd, Hixson, TN 37343 Phone: 423-212-3149
Hannah Gibson Norton, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5022 Old Godsey Ln, Suite 3, Hixson, TN 37343 Phone: 423-870-3573 Fax: 423-870-3574

Johnathan Ledel Gannaway, DPT - Medicare Physical Therapist in Hixson, TN