MISTY RENAE BLACK PTA
NPI 1043386220
Physical Therapy Assistant in Sebastopol, CA
About Misty Renae Black Pta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISTY RENAE BLACK PTA (NPI 1043386220) is an individual physical therapy assistant in Sebastopol, California, licensed in California (AT6901) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses 2
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Misty Black's NPI number?
The NPI number for Misty Black is 1043386220. It was assigned to this individual provider in the NPPES registry on November 28, 2006.
Where is Misty Black located?
Misty Black practices at 100 Pleasant Hill Ave N, Sebastopol, CA 95472. The listed phone number is (707) 829-3282.
What is Misty Black's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
When was this NPI record last updated?
The NPPES record for Misty Black was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.