Cannon Leigh Hanebuth, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301734 Issued in CA

Practice address

21 Lower Ragsdale Dr
Monterey, CA 93940-5827

Phone

(831) 264-6040

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physical Therapy of Boulder

  • Physical Therapist
  • Boulder, CO
  • NPI 1215056023
  Medicare reassignment NPD
• Rocky Mountain Physical Therapy, Inc

  • Physical Therapist
  • Windsor, CO
  • NPI 1790013001
  Medicare reassignment NPD
• Rocky Mountain Physical Therapy Inc,

  • Physical Therapist
  • Broomfield, CO
  • NPI 1699364463
  NPD
• Montage Surgical Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Monterey, CA
  • NPI 1629864236
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California Inc

  • Physical Therapy Clinic/Center
  • Castro Valley, CA
  • NPI 1083618573
  NPD (past)
• Vibrantcare Outpatient Rehabilitation of California Inc

  • Physical Therapy Clinic/Center
  • Los Gatos, CA
  • NPI 1154325769
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1023778636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 TYLERTON CIR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307901",
            "telephone_number": "847-650-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LOWER RAGSDALE DR",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405827",
            "telephone_number": "831-264-6040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Gateway Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945208417",
            "country_code": "US",
            "telephone_number": "510-537-0272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 Appian Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945642524",
            "country_code": "US",
            "telephone_number": "510-537-0272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEBUTH",
        "first_name": "CANNON",
        "middle_name": "LEIGH",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "2305214431",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Lynne Haller, DDS
• James Arthur Halpern, MD
• Catherine Mogan Hambley, PH.D.
• Richard Morton Hambley, M.D.
• Rachel Hand
• Hanger Prosthetics & Orthotics Inc
• Ram Hanno, M.D.
• Christian Lloyd Hansen, M.D.
• Molly Rebecca Hansen
• Keisha Monique Hanson, FNP-C

• Physical Therapist in Monterey, CA
• Providers in Monterey, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.