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

Michael Kollin Cannon, PT

Individual provider Physical Therapist · NPI 1811596232

Michael Kollin Cannon, PT is a Physical Therapist in Private Practice in Long Beach, Mississippi. Qualified in 2019, 7 years ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5107 Beatline Rd Ste 300
Long Beach, MS 39560-3874
Phone: (228) 575-8429
Fax: (228) 575-8891
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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 PT6701 (MS)

Record details

NPI number1811596232
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 19, 2020
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020
Mailing address251 Johnston St Se Ste 200, Decatur, AL 35601-2515

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Encore Rehabilitation, Inc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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