Polly Ann Cannon, P.T
Physical Therapist · Santa Rosa, CA
Polly Ann Cannon, P.T is a physical therapist with a practice address in Santa Rosa, California, and NPI 1568524114, issued on Dec 13, 2006. Check the license (California PT 17063, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Polly Ann Cannon
- Credential
- P.T
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT 17063 CA
Self-reported in NPPES; status is on the state search - Practice location
- 401 Bicentennial Way, Santa Rosa, CA 95403
- Phone
- (707) 571-3403
- Enumerated
- Dec 13, 2006
- Record last updated
- Jan 3, 2022
- Medicare enrollment
- Enrolled (PECOS I20121113000188); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 22,531 in California → Look up another NPI →
Also registered at 401 Bicentennial Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anna Ackerman, RNRegistered Nurse1376409409
- Patricia AdamsPhysical Therapist1124971825
- Hugo Aguilar, PHARMDPharmacist1992389134
- Heather Aiello, OTR/LOccupational Therapist1851155022
- Sandra Akrawi, REGISTERED DIETITIANRegistered Dietitian1790821031
- Miguel Alcala, LCSWClinical Social Worker1629857891
Verify Polly Ann Cannon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PT 17063Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Permanente Medical Group IncSanta Rosa, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Polly Ann Cannon among 22,531 physical therapist records in California
Polly Ann Cannon, P.T is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 2% of them.
- NPI issued2006 · 2% of these records are older, 84% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated1990 · median 2017 among the 7,751 with a school on file
- Record last updated2022 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
191 physical therapist records list a practice address in Santa Rosa
They are 191 of the 6,884 NPPES records with a practice address in Santa Rosa, and 22,531 physical therapist records in California.
All 22,531 in California → Every provider in Santa Rosa → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Kimberly Aul, MSPTSanta Rosa, CA 954031407802614
- Sharon Barbee, P.T.Santa Rosa, CA 954031104985381
- James Belding, P.T.Santa Rosa, CA 954031265506174
- Jeffrey Franceschi, MS PTSanta Rosa, CA 954031033181391
- Pamela Franceschi, PTSanta Rosa, CA 954031700859204
- Kathleen Hannon, BSPTSanta Rosa, CA 954031093874802
- Rustem Ixanov, MS,PTSanta Rosa, CA 954031982771481
- Julie Landecker, DPTSanta Rosa, CA 954031780647693
Common questions
What is Polly Ann Cannon, P.T's NPI number?
Polly Ann Cannon, P.T's National Provider Identifier (NPI) is 1568524114, issued on Dec 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Polly Ann Cannon, P.T located?
The NPPES record lists a practice address at 401 Bicentennial Way, Santa Rosa, CA, 95403. Phone: (707) 571-3403. Providers update this record themselves, so call before visiting.
How can I verify Polly Ann Cannon, P.T's license?
NPPES lists California license number PT 17063, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.