Active NPI
Janna A Kanellis, PT
- Physical Therapist
- Cary, NC
National Provider Identifier
1376790964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12092
- Practice address
- 110 Corning Rd
Cary, NC 27518-9229 - Phone
- (919) 443-9886
- NPI assigned
- Aug 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12092 | NC | Primary |
Addresses
Primary practice location
110 Corning Rd
Cary, NC 27518-9229
Mailing address
128 Kelekent LN
Cary, NC 27518-8680
Phone (315) 771-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12092 | NC | MD | Physical Therapist |
| 5790 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1376790964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 KELEKENT LN",
"city": "CARY",
"state": "NC",
"postal_code": "275188680",
"telephone_number": "315-771-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CORNING RD",
"city": "CARY",
"state": "NC",
"postal_code": "275189229",
"telephone_number": "919-443-9886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANELLIS",
"first_name": "JANNA",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-26",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.