Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenton Mikito Micah Kanno

Individual provider Physical Therapist · NPI 1619546439

Brenton Mikito Micah Kanno is a Physical Therapist in Private Practice in Marina, California. Qualified in 2020, 6 years ago. Practices with Monterey Spine and Joint PC, a 75-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

292 Reservation Rd
Marina, CA 93933-3110
Phone: (831) 883-8542
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 300347 (CA)

Record details

NPI number1619546439
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Monterey Spine And Joint Pc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marina