Kim Canterbury, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT22343 Issued in CA

Practice address

4352 Arbor Cove Cir
Oceanside, CA 92058-6954

Phone

(760) 579-2868

Fax

(760) 547-1676

NPI assigned

May 2, 2018

Last updated

May 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Leona Geraghty

  • Home Health Agency
  • Oceanside, CA
  • NPI 1447630975
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1366931669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 ARBOR COVE CIR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920586954",
            "telephone_number": "760-815-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 ARBOR COVE CIR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920586954",
            "telephone_number": "760-579-2868",
            "fax_number": "760-547-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "KIM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT22343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Cannon, NMT
• Kelsey Ann Cannon, O.D.
• Leah Cannon
• Naomi Cano
• Edilberto A Canseco, PA
• Marina Noemi Capella, M.D.
• Bryan Christopher Caplis, SUDRC
• June Christine Cappiello, AMFT, APCC
• Chloe Nicole Carames, OTD, OTR/L
• Allison Marissa Carbone, MS, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.