Kandace Cheri' Habenicht, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60907440 Issued in WA

Practice address

3001 R Ave Unit 110
Anacortes, WA 98221-4602

Phone

(360) 299-2781

Fax

(360) 299-3038

NPI assigned

Jan 31, 2020

Last updated

Dec 2, 2024By 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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balance Point Physical Therapy Clinic LTDGroup PAC ID 2961496872, 9 clinicians

Anacortes Physical Therapy Inc PSGroup PAC ID 1951344944, 4 clinicians

Practice addresses (Care Compare)

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.

• Anacortes Physical Therapy, Inc., P.S.

  • Physical Therapist
  • Anacortes, WA
  • NPI 1386624997
  Medicare reassignment Care Compare group NPD
• Balance Point Physical Therapy Clinic LTD.

  dba Balance Point Physical Therapy

  • Physical Therapist
  • La Conner, WA
  • NPI 1598776296
  Medicare reassignment Care Compare group NPD
• La Conner Health and Wellness LLC

  • Primary Care Clinic/Center
  • La Conner, WA
  • NPI 1720356876
  NPD (past)

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1528699196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 R AVE UNIT 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "574-261-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 R AVE UNIT 110",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982214602",
            "telephone_number": "360-299-2781",
            "fax_number": "360-299-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABENICHT",
        "first_name": "KANDACE",
        "middle_name": "CHERI'",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60907440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Thomas Grignon, L.M.P.
• Brady Guinn, LMT
• Maria Geinah Labanero Gumban
• Natalie Gustafson, M.S., LMFT
• Erik E Haakenson, MS, LMHC, CMHS, NCC
• Dorothy Marie Hale, APRN, PMHNP-BC
• Kayla Bethany Hall I
• Patricia Ann Hall, RN
• Jay Ham, M.D.
• Jeffrey Scott Hambleton, MD

• Physical Therapist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.