Healthcare Provider Details

I. General information

NPI: 1275215592
Provider Name (Legal Business Name): MORGAN PAIGE KANNAPEL PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2023
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 TAMIAMI TRL S STE 210
VENICE FL
34285-2626
US

IV. Provider business mailing address

1801 SPRING DR APT O
LOUISVILLE KY
40205-1581
US

V. Phone/Fax

Practice location:
  • Phone: 941-483-3400
  • Fax:
Mailing address:
  • Phone: 270-287-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT42679
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number008885
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: