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SPORT & SPINE THERAPY OF MARIN INC NPI 1174578199


NPI Information

NPI: 1174578199
Provider Name: SPORT & SPINE THERAPY OF MARIN INC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
88 ROWLAND WAY
SUITE 250
NOVATO, CA
ZIP 94945
Phone: (415) 898-1311
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SPORT & SPINE THERAPY OF MARIN INC is an orthopedic physical therapist in Novato, 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 1174578199. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

88 ROWLAND WAY
SUITE 250
NOVATO, CA
ZIP 94945-042
Phone: (415) 898-1311
Fax: (415) 897-0741

The provider's authorized official is Steven William Thompson .
The authorized official title is Ceo/physical Therapist and has the following contact phone number (415) 457-4454.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/8/2020.


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
12251X0800XPhysical TherapistOrthopedicYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BK 875OTHERCALIFORNIAMEDICARE PTAN

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: 11/14/2023

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