Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Cannon, PT

Individual provider Physical Therapist · NPI 1942619176

Andrew Cannon, PT is a Physical Therapist in Private Practice in Fremont, Nebraska. Qualified in 2014, 12 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
12
Licensed in
NE
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3301 E Elkhorn Dr Ste 200
Fremont, NE 68025-6240
Phone: (402) 721-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3393 (NE)

Record details

NPI number1942619176
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 13, 2014
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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