Individual provider Active NPI

Brian Bassil Kanona, DPT

  • Physical Therapist
  • Warren, MI
National Provider Identifier
1275014680
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018759 Issued in MI
Practice address
29187 Ryan Rd
Warren, MI 48092-4243
Phone
(586) 578-9239
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018759 MI Primary

Addresses

Primary practice location

29187 Ryan Rd
Warren, MI 48092-4243

Mailing address

3780 Milano CT
Rochester Hills, MI 48307-2245
Phone (248) 787-4717

Other practice location 1

3780 Milano Ct
Rochester Hills, MI 48307-2245
Phone (248) 787-4717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

141 Hampton Cir
Rochester Hills, MI 48307-4103

3780 Milano CT
Rochester Hills, MI 48307-2245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501018759MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil King Physical Therapy, PC Physical Therapist CurrentSince Jul 6, 2026 Accepting new patients
Bnaebk PLLC CurrentSince May 19, 2024 Accepting new patients

Locations

29187 Ryan Rd
Warren, MI 48092
Phone (586) 578-9239

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1275014680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 MILANO CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072245",
            "telephone_number": "248-787-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29187 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480924243",
            "telephone_number": "586-578-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3780 Milano Ct",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483072245",
            "country_code": "US",
            "telephone_number": "248-787-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANONA",
        "first_name": "BRIAN",
        "middle_name": "BASSIL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.