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

Brandon Gannon

Individual provider Physical Therapist · NPI 1962105486

Brandon Gannon is a Physical Therapist in Private Practice in Elkhorn, Nebraska. Qualified in 2023, 3 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

1405 N 205th St Ste 140
Elkhorn, NE 68022-4740
Phone: (402) 289-5013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1962105486
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESMarch 23, 2023
Certification dateMarch 23, 2023
Mailing address850 43rd Ave Ste 100, Moline, IL 61265-8401

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhorn