Sport & Spine Therapy Of Marin Inc | |
88 Rowland Way, Suite 250, Novato, CA 94945-5042 | |
(415) 898-1311 | |
(415) 897-0741 |
Full Name | Sport & Spine Therapy Of Marin Inc |
---|---|
Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 88 Rowland Way, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174578199 | NPI | - | NPPES |
BK 875 | Other | CA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
Provider Name | Candyce A Powell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205886561 PECOS PAC ID: 1557312527 Enrollment ID: I20050208000980 |
Provider Name | Steven Willliam Thompson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427016401 PECOS PAC ID: 3870542442 Enrollment ID: I20060710000187 |
Provider Name | Rebecca Nicoll Jensen |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134277437 PECOS PAC ID: 2264532324 Enrollment ID: I20070703000394 |
Provider Name | Kristina Svenson-brown |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1932149564 PECOS PAC ID: 2860541810 Enrollment ID: I20090521000211 |
Provider Name | Ole Christian Borgesen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043413230 PECOS PAC ID: 0648322313 Enrollment ID: I20090710000574 |
Provider Name | Michael Mottola |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1285901025 PECOS PAC ID: 4183854656 Enrollment ID: I20140228000850 |
Provider Name | Maureen C Rohlwing |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861817892 PECOS PAC ID: 4587883798 Enrollment ID: I20140922001153 |
Provider Name | Tanya Rg Fredricks |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639539380 PECOS PAC ID: 0143528331 Enrollment ID: I20160421001395 |
Provider Name | Lisa D Paradiso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083653802 PECOS PAC ID: 3971897364 Enrollment ID: I20160808002080 |
Provider Name | James Godon Paterson |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114463460 PECOS PAC ID: 2466729918 Enrollment ID: I20170605000773 |
Provider Name | Jessica Mcclain |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689154064 PECOS PAC ID: 6800148263 Enrollment ID: I20181012000299 |
Provider Name | Lindsey Umapathy Riley |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750865366 PECOS PAC ID: 4880948272 Enrollment ID: I20181121002732 |
Provider Name | Joanne Agil |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235601634 PECOS PAC ID: 5294075610 Enrollment ID: I20190321002966 |
Provider Name | Jennifer Kirk Sorrow |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821691296 PECOS PAC ID: 6608281118 Enrollment ID: I20210216000725 |
Provider Name | Taylor R Sloat |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1316532567 PECOS PAC ID: 0648688630 Enrollment ID: I20210412001331 |
Provider Name | Gianna Niole Colla |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205213873 PECOS PAC ID: 5193133882 Enrollment ID: I20210419000749 |
Provider Name | Cathleen Sickles |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841869237 PECOS PAC ID: 3274930953 Enrollment ID: I20210922002684 |
Provider Name | Jeffrey Alan Dean |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1437820107 PECOS PAC ID: 7315336153 Enrollment ID: I20211116001920 |
Provider Name | Jacob Alexander Taylor Sowatzke |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275291932 PECOS PAC ID: 3678964871 Enrollment ID: I20211223000328 |
Provider Name | Mallory Matteo |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205213451 PECOS PAC ID: 0749578128 Enrollment ID: I20220216001610 |
Provider Name | Nicole Coleman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447773718 PECOS PAC ID: 5890029607 Enrollment ID: I20220321000706 |
Provider Name | Ava Steffen |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700401445 PECOS PAC ID: 1153717988 Enrollment ID: I20220405000411 |
Provider Name | Yi Ching Lin |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1922654193 PECOS PAC ID: 1658767116 Enrollment ID: I20220408001647 |
Provider Name | Nicholas Morrell |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013684802 PECOS PAC ID: 1456749407 Enrollment ID: I20220414001450 |
Provider Name | Michael Cruz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1407395726 PECOS PAC ID: 1557645777 Enrollment ID: I20220711001452 |
Provider Name | Corey Voisine |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1689126856 PECOS PAC ID: 7618256413 Enrollment ID: I20220725001455 |
Provider Name | Michelle Outeiral |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1750034757 PECOS PAC ID: 8820471774 Enrollment ID: I20220810002384 |
Provider Name | Andrew Deering |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942879994 PECOS PAC ID: 1052715851 Enrollment ID: I20220906000098 |
Provider Name | Courtney Buschard |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295304467 PECOS PAC ID: 5395146252 Enrollment ID: I20220912000678 |
Provider Name | Noman Naqvi |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1396469995 PECOS PAC ID: 2567838691 Enrollment ID: I20221014001329 |
Provider Name | Taylor Barnes |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1174241855 PECOS PAC ID: 0648647347 Enrollment ID: I20221109003057 |
Provider Name | Marissa Ruiz |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1700598869 PECOS PAC ID: 1658742333 Enrollment ID: I20230116000946 |
Provider Name | Edgardo Cuellar-franco |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467164525 PECOS PAC ID: 2466823935 Enrollment ID: I20230119002031 |
Provider Name | Meghan Marie Alonso |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1841988789 PECOS PAC ID: 7315306099 Enrollment ID: I20230629001010 |
Provider Name | Jeremy Roger |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275240848 PECOS PAC ID: 0244691624 Enrollment ID: I20230801004051 |
Provider Name | Jennifer K Glatzer |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699980839 PECOS PAC ID: 0143678607 Enrollment ID: I20231122002060 |
Provider Name | Gabrielle Trakhter |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508633009 PECOS PAC ID: 9032569447 Enrollment ID: I20231227003221 |
Provider Name | Kevin Patrick Mccarron |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225864325 PECOS PAC ID: 5799226189 Enrollment ID: I20240925003350 |
Mailing Address | Practice Location Address |
---|---|
Sport & Spine Therapy Of Marin Inc Po Box 950, Suite 250, Novato, CA 94948-0950 Ph: (415) 898-1311 | Sport & Spine Therapy Of Marin Inc 88 Rowland Way, Suite 250, Novato, CA 94945-5042 Ph: (415) 898-1311 |
Ole Christian Borgesen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Jaclynn Mcneill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Louise Ave, Novato, CA 94947 Phone: 415-652-8950 | |
Miss Ping Wu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, Suite 200, Novato, CA 94945 Phone: 415-847-2333 | |
Ms. Lisa Dian Paradiso, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 | |
Novato Back Care And Sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Lorraine Andrews Roller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, #200, Novato, CA 94945 Phone: 415-893-4143 | |
Starburst Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Commercial Blvd, Novato, CA 94949 Phone: 415-320-1329 Fax: 415-729-1780 |