MR. RICHARD JOHN WALDRON PT NPI 1962486464

NPI Information

  • NPI: 1962486464
  • Provider Name: MR. RICHARD JOHN WALDRON, PT
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 1099 D STREET SUITE 105
    SAN RAFAEL, CA
    ZIP 94901
  • Phone: (415) 532-8395

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NPI Details

MR. Richard John Waldron, PT is an orthopedic physical therapist in San Rafael, 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. MR. Richard John Waldron, PT NPI is 1962486464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1099 D STREET SUITE 105
SAN RAFAEL, CA
ZIP 94901-839
Phone: (415) 532-8395

The enumeration date for this NPI number is 11/30/2005 and was last updated on 9/7/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistPT15104CALIFORNIANo
22251X0800XPhysical TherapistOrthopedicPT15104CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FY242AMEDICARE PINCALIFORNIA

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: 11/21/2025

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