SPORT & SPINE THERAPY OF MARIN INC
NPI 1174578199
Physical Therapist - Orthopedic in Novato, CA
NPI Status: Active since May 24, 2006
Contact Information
88 ROWLAND WAY
SUITE 250
NOVATO, CA
ZIP 94945
Phone: (415) 898-1311
Fax: (415) 897-0741
- 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 Novato, California operating as a Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1174578199 assigned on May 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 organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Bobby Ismail Dpt (President)
- NPI
- 1174578199
- Provider Name
- SPORT & SPINE THERAPY OF MARIN INC
- Entity Type
- Organization
- Location Address
- 88 ROWLAND WAY SUITE 250 NOVATO, CA 94945
- Location Phone
- (415) 898-1311
- Location Fax
- (415) 897-0741
- Mailing Address
- PO BOX 950 SUITE 250 NOVATO, CA 94948
- Mailing Phone
- (415) 898-1311
- Mailing Fax
- (415) 897-0741
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2006
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| BK 875 | OTHER (01) | CA | MEDICARE PTAN |
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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 | 7 | 4 | 5 | 7 | 8 | 1 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 10 | 7 | 16 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 0 + 7 + 1 + 6 + 1 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1174578199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861729121 | JANE ELIZABETH SANTOS P.T. Individual | Specialist | 88 ROWLAND WAY SUITE 250 NOVATO, CA 94945 (415) 898-1311 |
| 1548523475 | UPENDA MANNING Individual | Orthotic Fitter | 88 ROWLAND WAY NOVATO, CA 94945 (415) 892-1502 |
| 1538450127 | MRS. SARAH ELIZABETH WENZEL C.P.O. Individual | Orthotist | 88 ROWLAND WAY SUITE 175 NOVATO, CA 94945 (415) 892-1502 |
| 1508233461 | DR. GARRETT PETER LABBERTON IV DPT Individual | Physical Therapist | 88 ROWLAND WAY #250 NOVATO, CA 94945 (415) 898-1311 |
| 1154876902 | JENELE PETERSON DPT Individual | Physical Therapist (Orthopedic) | 88 ROWLAND WAY SUITE 250 NOVATO, CA 94945 (415) 898-1311 |
| 1225406358 | SERENA LIU Individual | Physical Therapist | 88 ROWLAND WAY #250 NOVATO, CA 94945 (415) 898-1311 |
| 1922432392 | MICHELLE LYNN GHIGLIERI DPT Individual | Physical Therapist | 88 ROWLAND WAY SUITE 250 NOVATO, CA 94945 (415) 898-1311 |
| 1134277437 | MRS. REBECCA NICOLL JENSEN OTR CHT Individual | Occupational Therapist (Hand) | 88 ROWLAND WAY NOVATO, CA 94945 (415) 898-1311 |
| 1386476695 | DANIEL SHELDON Individual | Physical Therapist | 88 ROWLAND WAY NOVATO, CA 94945 (415) 898-1311 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174578199, enumerated in the NPI registry as an "organization" on May 24, 2006
The provider is located at 88 Rowland Way Suite 250 Novato, Ca 94945 and the phone number is (415) 898-1311
This medical organization specializes in Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 24, 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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