Polly Cannon, P.T
NPI 1568524114 · Physical Therapist · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Polly Cannon, P.T is a Physical Therapist provider in Santa Rosa, CA (NPI 1568524114).
Provider details
- NPI number
- 1568524114
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T
- Sex
- Female
- Sole proprietor
- No
- License
- PT 17063 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2022-01-03
Frequently asked questions
- What is Polly Cannon's NPI number?
- Polly Cannon's National Provider Identifier (NPI) is 1568524114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Polly Cannon's specialty?
- Polly Cannon is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Polly Cannon located?
- Polly Cannon's practice location on file with NPPES is 401 Bicentennial Way, Santa Rosa, CA 95403-2149.
- What is Polly Cannon's phone number?
- The practice phone number listed in the NPPES registry for Polly Cannon is (707) 571-3403.
- Does Polly Cannon accept Medicare?
- Polly Cannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Polly Cannon's NPI active?
- Yes — Polly Cannon's NPI (1568524114) is active in the NPPES registry as of the last update on 2022-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.