Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Lyles Blalock Cannon III, MPT, MS

Individual provider Physical Therapist · NPI 1952409625

Mr. Lyles Blalock Cannon III, MPT, MS is a Physical Therapist in Pasadena, Maryland. Licensed in Maryland. Registered with an NPI since 2006.

Licensed in
MD
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

8131 Ritchie Hwy Ste E
Pasadena, MD 21122-6940
Phone: (410) 590-4360
Fax: (410) 590-4365
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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 21457 (MD)

Record details

NPI number1952409625
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , MS
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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