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

Michael Cannon, DPT

Individual provider Physical Therapist · NPI 1891519294

Michael Cannon, DPT is a Physical Therapist in Private Practice in Charleston, South Carolina. Qualified in 2024, 2 years ago. Practices with Benchmark Healthcare Services LLC, a 140-clinician group. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

915 Folly Rd Ste J
Charleston, SC 29412-3907
Phone: (843) 203-6955
Fax: (843) 805-4908
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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 12631 (SC)

Record details

NPI number1891519294
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Benchmark Healthcare Services Llc — 140 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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