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SPORT & SPINE THERAPY OF MARIN INC NPI 1154388577


NPI Information

NPI: 1154388577
Provider Name: SPORT & SPINE THERAPY OF MARIN INC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
220 GREENFIELD AVE
SAN ANSELMO, CA
ZIP 94960
Phone: (415) 457-4454
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SPORT & SPINE THERAPY OF MARIN INC is an orthopedic physical therapist in San Anselmo, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. SPORT & SPINE THERAPY OF MARIN INC NPI is 1154388577. The provider is registered as an organization entity type.

The provider's business location address is:

220 GREENFIELD AVE
SAN ANSELMO, CA
ZIP 94960-416
Phone: (415) 457-4454
Fax: (415) 457-4944

The provider's authorized official is Bobby Ismail .
The authorized official title is President and has the following contact phone number (209) 353-1988.

The enumeration date for this NPI number is 4/28/2006 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical TherapyNo
22251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.