Mr Lyles Blalock Cannon Iii, MPT, MS in Pasadena, MD

Mr Lyles Blalock Cannon Iii, MPT, MS is a Physical Therapist based in Pasadena, Maryland. Mr Lyles Blalock Cannon Iii is licensed to practice in Maryland (license number 21457) and his current practice location is 8131 Ritchie Hwy, Suite E, Pasadena, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 590-4360.

NPI number for Mr Lyles Blalock Cannon Iii is 1952409625 and his current mailing address is 6464 Cedar Furnace Cir, Glen Burnie, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952409625.

Contact Information

	Mr Lyles Blalock Cannon Iii, MPT, MS
	8131 Ritchie Hwy, Suite E, Pasadena, MD 21122-6940
	(410) 590-4360
	(410) 590-4365

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Lyles Blalock Cannon Iii
Gender	Male
Speciality	Physical Therapist
Location	8131 Ritchie Hwy, Pasadena, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1952409625
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Lyles Blalock Cannon Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952409625	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	21457 (Maryland)	Primary

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. Mr Lyles Blalock Cannon Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Lyles Blalock Cannon Iii, MPT, MS 6464 Cedar Furnace Cir, Glen Burnie, MD 21061-8825 Ph: () -	Mr Lyles Blalock Cannon Iii, MPT, MS 8131 Ritchie Hwy, Suite E, Pasadena, MD 21122-6940 Ph: (410) 590-4360

Reviews and Comments

Physical Therapist in Pasadena, MD

Brian Timothy Leimkuhler, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3708 Mountain Rd Ste D, Pasadena, MD 21122 Phone: 410-255-4833 Fax: 410-255-4834
Samantha Meyer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3708 Mountain Rd, Ste D, Pasadena, MD 21122 Phone: 410-255-4833
Zachary Roy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8028 Ritchie Hwy Ste 120, Pasadena, MD 21122 Phone: 410-590-8750
Mrs. Gretchen Elisa Michaels, M.S.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8131 Ritchie Hwy, Suite E, Pasadena, MD 21122 Phone: 410-590-4360 Fax: 410-590-4365
Jennifer Fearon, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8116 Ritchie Hwy, Pasadena, MD 21122 Phone: 443-261-2220
Progressive Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8141 Ritchie Hwy Ste A, Pasadena, MD 21122 Phone: 443-906-0181 Fax: 443-901-3877
Kathryn Sydney Ricks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8116 Ritchie Hwy, Pasadena, MD 21122 Phone: 443-261-2220

Mr Lyles Blalock Cannon Iii, MPT, MS - Physical Therapist in Pasadena, MD