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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sport & Spine Therapy Of Marin Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Sport & Spine Therapy Of Marin Inc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice23
Occupational Therapist in Private Practice4

Nearest to this location (20)

See all 27
Rebecca Jensen, OTR CHT
Occupational Therapist in Private Practice
NPI 1134277437
88 ROWLAND WAY
Novato, CA 94945
(415) 898-1311
✔ Accepts MedicareSame address
Kevin Mccarron, DPT
Physical Therapist in Private Practice
NPI 1225864325
88 ROWLAND WAY STE 250
Novato, CA 94945
(415) 898-1311
✔ Accepts MedicareSame address
Jessica Mcclain, OTR/L
Occupational Therapist in Private Practice
NPI 1689154064
88 ROWLAND WAY STE 250
Novato, CA 94945
(415) 898-1311
✔ Accepts MedicareSame address
Candyce Powell, M.P.T.
Physical Therapist in Private Practice
NPI 1205886561
88 ROWLAND WAY STE 250
Novato, CA 94945
(415) 898-1311
✔ Accepts MedicareSame address
Edgardo Cuellar-Franco, DPT
Physical Therapist in Private Practice
NPI 1467164525
88 ROWLAND WAY STE 250
Novato, CA 94945
(415) 484-1163
Same address
Gabrielle Reif
Physical Therapist in Private Practice
NPI 1508633009
88 ROWLAND WAY STE 250
Novato, CA 94945
(415) 898-1311
✔ Accepts MedicareSame address
Kristina Svenson-Brown, P.T., C.H.T.
Physical Therapist in Private Practice
NPI 1932149564
165 ROWLAND WAY SUITE 101
Novato, CA 94945
(415) 898-1311
✔ Accepts Medicare0.3 mi
Ole Borgesen, PT
Physical Therapist in Private Practice
NPI 1043413230
165 ROWLAND WAY SUITE 101
Novato, CA 94945
(415) 898-1311
✔ Accepts Medicare0.3 mi
Merritt Walker
Physical Therapist in Private Practice
NPI 1063375780
220 GREENFIELD AVE
San Anselmo, CA 94960
(415) 457-4454
✔ Accepts Medicare8.3 mi
Robert Pietila
Physical Therapist in Private Practice
NPI 1679408314
220 GREENFIELD AVE
San Anselmo, CA 94960
(415) 366-9120
✔ Accepts Medicare8.3 mi
Jennifer Glatzer, MS OTR/L, CHT
Occupational Therapist in Private Practice
NPI 1699980839
220 GREENFIELD AVE
San Anselmo, CA 94960
(415) 457-4454
8.3 mi
Marissa Ruiz
Physical Therapist in Private Practice
NPI 1700598869
220 GREENFIELD AVE
San Anselmo, CA 94960
(415) 213-2233
8.3 mi
Taylor Sloat
Physical Therapist in Private Practice
NPI 1316532567
220 GREENFIELD AVE
San Anselmo, CA 94960
(415) 457-4454
✔ Accepts Medicare8.3 mi
Yi Ching Lin
Physical Therapist in Private Practice
NPI 1922654193
2160 APPIAN WAY STE 101
Pinole, CA 94564
(510) 724-1248
16 mi
Jennifer Sorrow, DPT
Physical Therapist in Private Practice
NPI 1821691296
1334 36TH AVE
San Francisco, CA 94122
(480) 444-6596
✔ Accepts Medicare23 mi
Lindsey Riley, PT
Physical Therapist in Private Practice
NPI 1750865366
2625 SHADELANDS DR
Walnut Creek, CA 94598
(925) 939-8585
✔ Accepts Medicare31 mi
Michael Mottola, PT DPT
Physical Therapist in Private Practice
NPI 1285901025
68 WILLOW RD
Menlo Park, CA 94025
(866) 839-6979
✔ Accepts Medicare49 mi
Meghan Alonso
Physical Therapist in Private Practice
NPI 1841988789
2115 THE ALAMEDA
San Jose, CA 95126
(408) 293-7767
✔ Accepts Medicare62 mi
Fabrice Rockich, DPT
Physical Therapist in Private Practice
NPI 1477564136
12900 SARATOGA AVE SUITE A1
Saratoga, CA 95070
(408) 973-7700
✔ Accepts Medicare64 mi
Jeffrey Dean, PT
Physical Therapist in Private Practice
NPI 1437820107
6600 BRUCEVILLE RD
Sacramento, CA 95823
(415) 457-4454
67 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Sport & Spine Therapy Of Marin Inc enrolled in Medicare?

Yes. Sport & Spine Therapy Of Marin Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sport & Spine Therapy Of Marin Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Sport & Spine Therapy Of Marin Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (23) and Occupational Therapist in Private Practice (4). Of these, 6 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.