| Kellen Cannon, | |
|
9 Lee Airpark Dr Ste 400, Edgewater, MD 21037-1229 | |
| (443) 607-1469 | |
| Not Available |
| Full Name | Kellen Cannon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 9 Lee Airpark Dr Ste 400, Edgewater, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447920699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Maryland) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 2305214662 (Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ati Holdings, Llc | 9537112719 | 440 |
| Performance Rehabilitation Of Western New England Llc | 7911979950 | 201 |
| Provider Name | Ati Holdings, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
| Provider Name | Ati Holdings, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellen Cannon, 2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211 Ph: (866) 370-8206 | Kellen Cannon, 9 Lee Airpark Dr Ste 400, Edgewater, MD 21037-1229 Ph: (443) 607-1469 |
Kevin Wrenn, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 |
Timothy Caprio, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3168 Braverton St Ste 200, Edgewater, MD 21037 Phone: 410-956-4308 Fax: 410-956-8038 |
Bayside Physical Therpay And Sports Rehabilitation, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 |
Dr. Alyssa Beskid Fenn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Lee Airpark Dr, Edgewater, MD 21037 Phone: 443-607-1469 |
Maureen K Walter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 |
Daniel Scott Hassell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Lee Airpark Dr Ste 400, Edgewater, MD 21037 Phone: 443-607-1469 Fax: 410-956-2618 |
Ms. Denise Arundell Swensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Stepneys Ln, Edgewater, MD 21037 Phone: 410-956-3559 |