TIBURON PHYSICAL THERAPY CENTER INC (NPI# 1235277625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235277625 |
| Entity Type | Organization |
| Organization Name | TIBURON PHYSICAL THERAPY CENTER INC |
| Practice Address |
92 Main St Tiburon CA 94920-2508 |
| Practice Telephone | 4154357488 |
| Mailing Telephone | 4154357488 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | KRISTEN NELSON (CORPORATE SECRETARY) |
| Authorized Official Telephone | 4154357488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT25508 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | ZZZ22814Z | 01 |
| Street Address |
92 MAIN ST |
| City | TIBURON |
| State | CA |
| Zip Code | 94920-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053539114 | Kristen Nelson | Physical Therapist | 92 Main St, Tiburon, CA 94920-2508 | 2007-04-23 |
| 1912014143 | Eric E Nelson | Physical Therapist | 92 Main St, Tiburon, CA 94920-2508 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427514116 | Cassie Merrier | Physical Therapist | 0 Alcatraz Ave, Tiburon, CA 94920 | 2019-02-18 |
| 1295123701 | Geoffrey Collins | Family Medicine | 14 Leeward Rd, Belvedere, CA 94920 | 2015-01-06 |
| 1154758548 | James Lynne Bennington | Pathology | 55 Beach Road, Belvedere, CA 94920 | 2013-10-01 |
| 1922442532 | Olav Nicholas Norman | Anesthesiology | 42 Norman Way, Tiburon, CA 94920 | 2013-04-25 |
| 1619162864 | Sarah Dihmes | Psychologist | 17 Captain's Landing, Tiburon, CA 94920 | 2007-09-11 |
| 1578632279 | James Patrick Hardy | Anesthesiology | 18 Salt Lnd, Bel Tiburon, CA 94920 | 2006-11-07 |
| 1215015847 | Jay I. La Bourene | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1550-g Tiburon Blvd, Tiburon, CA 94920 | 2006-11-01 |
| 1780767103 | Gretchen K Andreis | Chiropractor | 1640 Tiburon Blvd, Tiburon, CA 94920 | 2006-10-21 |
| 1215573324 | Eileeen Grace Mckenzie | Marriage & Family Therapist | 4850 Paradise Dr, Tiburon, CA 94920-1001 | 2019-11-24 |
| 1972546695 | Harvey A Gilbert | Radiology | 159 Saint Thomas Way, Tiburon, CA 94920-1031 | 2006-06-13 |
| Find all providers in zip 94920 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945337 | Dragon Physical Therapy PC | Clinic/Center | 24 Marsh Rd, Tiburon, CA 94920-2541 | 2020-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.