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

Jeremy Cannon, PTA

Individual provider Physical Therapy Assistant · NPI 1093175010

Jeremy Cannon, PTA is a Physical Therapy Assistant in Beaufort, South Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

95 Sea Island Pkwy Ste 103
Beaufort, SC 29907-1499
Phone: (803) 942-6412
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 — (803) 632-3773

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3416 (SC)

Record details

NPI number1093175010
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 3, 2016
Last updated in NPPESJune 11, 2022
Certification dateJune 11, 2022

Other providers in Beaufort