Jonathan Canton, MOT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

OT22108 Issued in CA

Practice address

609 E Orangeburg Ave Ste 201
Modesto, CA 95350-5512

Phone

(209) 572-3224

Fax

(209) 572-4528

NPI assigned

Jan 31, 2018

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Male

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

Enrolled in CA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanislaus Orthopaedic and Sports Medicine Clinic

  • Specialist
  • Modesto, CA
  • NPI 1669505160
  Medicare reassignment NPD

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1417455791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2264",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953615264",
            "telephone_number": "209-572-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E ORANGEBURG AVE STE 201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505512",
            "telephone_number": "209-572-3224",
            "fax_number": "209-572-4528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7281 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891171592",
            "country_code": "US",
            "telephone_number": "702-870-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTON",
        "first_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "OT22108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Antoinette Cannady
• Paula Lynn Cannistraci, PHARM.D.
• Mia Lie Cannon
• Destiny Cano
• Jacob Landel Canta
• Sandra Lynn Cantrell, LMFT
• Sophia Cantu
• Alyssa Cantz
• Michelle Anne Villarante Caoile, FNP
• Lory Capehart, BA

• Orthopedic Physical Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.