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

Johnathan Ledel Gannaway, DPT

Individual provider Physical Therapist · NPI 1588765275

Johnathan Ledel Gannaway, DPT is a Physical Therapist in Private Practice in Hixson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2006, 20 years ago. Practices with Mcm Rehabilitation LLC, a 57-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
20
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2125 Northpoint Blvd
Hixson, TN 37343-4072
Phone: (423) 875-3376
Fax: (423) 875-3451
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7565 (TN)

Record details

NPI number1588765275
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice McM Rehabilitation Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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