SPORT & SPINE THERAPY OF MARIN INC
NPI 1174578199
Physical Therapist - Orthopedic in Novato, CA

Q: What is Sport & Spine Therapy Of Marin Inc's NPI number?

The NPI number for Sport & Spine Therapy Of Marin Inc is 1174578199. It was assigned to this organization in the NPPES registry on May 24, 2006.

Q: What is Sport & Spine Therapy Of Marin Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Active since May 24, 2006

88 ROWLAND WAY, SUITE 250, NOVATO, CA 94945(415) 898-1311(415) 897-0741 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2023, Oct 8, 2020, Mar 5, 2020 (3 updates tracked since 2020).

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About Sport & Spine Therapy Of Marin Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPORT & SPINE THERAPY OF MARIN INC (NPI 1174578199) is a healthcare organization registered as an orthopedic in Novato, California and active in the NPI registry since May 2006. The organization lists Bobby Ismail, President, as its authorized official.

NPPES Registry Identity

NPI1174578199

Entity TypeOrganization

Primary Taxonomy2251X0800X

Legal Business NameSPORT & SPINE THERAPY OF MARIN INC

Location Address88 ROWLAND WAY, SUITE 250Novato, CA 94945-5042

Mailing AddressPo Box 950, Suite 250Novato, CA 94948-0950 · (415) 898-1311 · Fax (415) 897-0741

Phone(415) 898-1311

Fax(415) 897-0741

Organization SubpartNo

Authorized OfficialBobby IsmailPresident · (209) 353-1988

Enumeration DateMay 24, 2006

Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration

NPPES CertifiedDecember 6, 2023

✔ NPI 1174578199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

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.

88 ROWLAND WAY, Novato, CA 94945

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Other Identifiers 1

OtherBK 875CA · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. REBECCA NICOLL JENSEN OTR CHT

Occupational Therapist (Hand)

88 ROWLAND WAY
NOVATO, CA 94945

Marin County (415) 898-1311

JENELE PETERSON DPT

Physical Therapist (Orthopedic)

88 ROWLAND WAY, SUITE 250
NOVATO, CA 94945

Marin County (415) 898-1311

SERENA LIU

Physical Therapist

88 ROWLAND WAY, #250
NOVATO, CA 94945

Marin County (415) 898-1311

DANIEL SHELDON

Physical Therapist

88 ROWLAND WAY
NOVATO, CA 94945

Marin County (415) 898-1311

DR. GARRETT PETER LABBERTON IV DPT

Physical Therapist

88 ROWLAND WAY, #250
NOVATO, CA 94945

Marin County (415) 898-1311

MRS. SARAH ELIZABETH WENZEL C.P.O.

Orthotist

88 ROWLAND WAY, SUITE 175
NOVATO, CA 94945

Marin County (415) 892-1502

UPENDA MANNING

Orthotic Fitter

88 ROWLAND WAY
NOVATO, CA 94945

Marin County (415) 892-1502

JANE ELIZABETH SANTOS P.T.

Specialist

88 ROWLAND WAY, SUITE 250
NOVATO, CA 94945

Marin County (415) 898-1311

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 Sport & Spine Therapy Of Marin Inc's NPI number?

The NPI number for Sport & Spine Therapy Of Marin Inc is 1174578199. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Sport & Spine Therapy Of Marin Inc located?

Sport & Spine Therapy Of Marin Inc is located at 88 Rowland Way Suite 250, Novato, CA 94945. The listed phone number is (415) 898-1311.

What is Sport & Spine Therapy Of Marin Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Sport & Spine Therapy Of Marin Inc was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.