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

Kellen Cannon

Individual provider Physical Therapist · NPI 1447920699

Kellen Cannon is a Physical Therapist in Private Practice in Edgewater, Maryland. Qualified in 2021, 5 years ago. Practices with Ati Holdings, LLC, a 439-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Maryland and Virginia.

Years since qualifying
5
Licensed in
MD, VA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

9 Lee Airpark Dr Ste 400
Edgewater, MD 21037-1229
Phone: (443) 607-1469
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 212 Rosewick Rd, La Plata, MD 20646-4216 — (240) 776-6900
  • 1715 N George Mason Dr, Arlington, VA 22205-3609 — (703) 525-5542

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (MD)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2305214662 (VA)

Record details

NPI number1447920699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2021
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address2001 Butterfield Rd Ste 1600, Downers Grove, IL 60515-1211

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Edgewater