MEDICARE: HEATHER CANTY MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT23533	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT23533	OTHER	CA	PT LICENSE

General Provider Information

NPI Number	:	1033041561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER CANTY MPT

Provider Business Mailing Address
First Line	:	503 CAROWILL DR APT 108
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	503 CAROWILL DR APT 108
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27455-3377
Country	:	US
Telephone Number	:	909-609-9332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ HEATHER CANTY MPT” Practice Location

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