| |
619 E Blithedale Ave Ste B, Mill Valley, CA 94941-1482 | |
(415) 238-6470 | |
(310) 861-1922 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 619 E Blithedale Ave Ste B, Mill Valley, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417434705 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 36869 (California) | Primary |
Provider Name | Susan Van Hise |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801034665 PECOS PAC ID: 6002083466 Enrollment ID: I20120125000790 |
Provider Name | Jaina Bhagat Patel |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1619083045 PECOS PAC ID: 9436306859 Enrollment ID: I20121128000699 |
Provider Name | Sarah Messina |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1598501496 PECOS PAC ID: 0648719153 Enrollment ID: I20240828003732 |
Provider Name | Erin J Burch |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306678925 PECOS PAC ID: 6901347582 Enrollment ID: I20241204003748 |
Mailing Address | Practice Location Address |
---|---|
619 E Blithedale Ave Ste B, Mill Valley, CA 94941-1482 Ph: (415) 238-6470 | 619 E Blithedale Ave Ste B, Mill Valley, CA 94941-1482 Ph: (415) 238-6470 |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Shoreline Hwy Ste 210a, Mill Valley, CA 94941 Phone: 415-729-0441 | |
Physical Medicine Ctr Of Marin, A Pt Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Miller Ave, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 | |
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379 | |
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707 | |
Lisa Sharon Iacovelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Miller Avenue, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 |