SPORT & SPINE THERAPY OF MARIN INC
NPI 1154388577
Physical Therapist - Orthopedic in San Anselmo, CA
NPI Status: Active since April 28, 2006
Contact Information
220 GREENFIELD AVE
SAN ANSELMO, CA
ZIP 94960
Phone: (415) 457-4454
Fax: (415) 457-4944
- Organization
- Physical Therapist
- Orthopedic
About SPORT & SPINE THERAPY OF MARIN INC
This page provides the complete NPI Profile along with additional information for Sport & Spine Therapy Of Marin Inc, a provider established in San Anselmo, California operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1154388577 assigned on April 2006. The practitioner's primary taxonomy code is 2251X0800X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Bobby Ismail (President)
- NPI
- 1154388577
- Provider Name
- SPORT & SPINE THERAPY OF MARIN INC
- Entity Type
- Organization
- Location Address
- 220 GREENFIELD AVE SAN ANSELMO, CA 94960
- Location Phone
- (415) 457-4454
- Location Fax
- (415) 457-4944
- Mailing Address
- 220 GREENFIELD AVE SAN ANSELMO, CA 94960
- Mailing Phone
- (415) 457-4454
- Mailing Fax
- (415) 457-4944
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2006
- Last Update Date
- 12-06-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2000X | Ambulatory Health Care Facilities | Clinic/Center |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 8 | 8 | 5 | 7 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 8 | 16 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 8 + 1 + 6 + 5 + 1 + 4 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1154388577 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427016401 | MR. STEVEN WILLIAM THOMPSON MPT, OCS, CSCS Individual | Physical Therapist (Orthopedic) | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1588617252 | MRS. KELLY NICOLE CLYMER P.T. Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1154456804 | JASON ANTONE SANTOS M.P.T. Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1033355896 | ERIKA NICOLE LINDLAND DPT Individual | Physical Therapist (Orthopedic) | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1932336351 | DEBRA ANNE HAYES PTA Individual | Physical Therapy Assistant | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1639539380 | TANYA ROBIN GIBSONE FREDRICKS MPT, CEEAA Individual | Physical Therapist (Orthopedic) | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1316532567 | TAYLOR SLOAT Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1437820107 | DR. JEFFREY ALAN DEAN PT Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1770839839 | KRISTY LAUREN EWERT PT Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1700598869 | MARISSA RUIZ Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 213-2233 |
| 1275240848 | DR. JEREMY ROGER PT, DPT Individual | Physical Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
| 1699980839 | JENNIFER K GLATZER MS OTR/L, CHT Individual | Occupational Therapist | 220 GREENFIELD AVE SAN ANSELMO, CA 94960 (415) 457-4454 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154388577, enumerated in the NPI registry as an "organization" on April 28, 2006
The provider is located at 220 Greenfield Ave San Anselmo, Ca 94960 and the phone number is (415) 457-4454
This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
This NPI record was last updated on April 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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