BETH MICKELSON (NPI# 1659677524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659677524 |
| Entity Type | Individual |
| Full Name | BETH MICKELSON |
| Credential | PT, DPT, ATC |
| Practice Address |
5 Bon Air Rd Suite 129 Larkspur CA 94939-1143 |
| Practice Telephone | 4153070866 |
| Mailing Telephone | 4153070866 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
37400 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5 BON AIR RD SUITE 129 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679562649 | Karen Nugent | Specialist | 5 Bon Air Rd, Suite A105, Larkspur, CA 94939-1143 | 2005-10-20 |
| 1316473903 | Neurology Health Center, Incorporated | Psychiatry & Neurology | 5 Bon Air Rd, Building D, Suite 219, Larkspur, CA 94939-1143 | 2017-05-03 |
| 1760852503 | Marin Womens Health | Obstetrics & Gynecology | 5 Bon Air Rd, Bld D, Suite 219, Larkspur, CA 94939-1136 | 2015-10-06 |
| 1033512330 | John Eugene Conte Jr. | Internal Medicine | 5 Bon Air Rd, Larkspur, CA 94939-1143 | 2014-09-30 |
| 1477974483 | Nicholas Verville | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2013-12-17 |
| 1790106714 | Lindsey Kuroda | Physical Therapist | 5 Bon Air Rd, Suite A105, Larkspur, CA 94939-1143 | 2013-12-17 |
| 1770927204 | Stewart Lin | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2013-04-26 |
| 1851636617 | Anne White | Acupuncturist | 5 Bon Air Rd, Ste. 221, Larkspur, CA 94939-1143 | 2012-12-05 |
| 1558615963 | Laura Winner | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2012-11-07 |
| 1396026399 | Prima Medical Foundation | Surgery | 5 Bon Air Rd, #117, Larkspur, CA 94939-1143 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023664869 | Chris Kane | Physical Therapist | 2 Bon Air Rd, Larkspur, CA 94939-1141 | 2019-08-16 |
| 1356836993 | California Orthopedics & Spine Inc | Physical Therapist | 5 Bon Air Rd Ste 129, Larkspur, CA 94939-1139 | 2018-06-26 |
| 1619278249 | Sabrina Cecile Ames | Physical Therapist | 5 Bon Air Rd, Larkspur, CA 94939-1143 | 2010-11-12 |
| 1659507358 | Cynthia Lewton Dehan | Physical Therapist | 5 Bon Air Rd, Larkspur, CA 94939-1143 | 2009-06-09 |
| 1255578944 | Jason Matthew Montour | Physical Therapist | 5 Bon Air Rd, Suite 129, Larkspur, CA 94939-1143 | 2009-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
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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.