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MARIN PHYSICAL THERAPY, INC.
NPI 1275658148
Specialist in San Rafael, CA

Active since March 20, 2007
165 N REDWOOD DR, SUITE #120, SAN RAFAEL, CA 94903(415) 499-0278 Get Directions Write a Review

NPPES record last updated: April 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marin Physical Therapy, Inc. NPPES

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

MARIN PHYSICAL THERAPY, INC. (NPI 1275658148) is a healthcare organization registered as a specialist in San Rafael, California and active in the NPI registry since March 2007. The organization lists Andrew Edward Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1275658148
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMARIN PHYSICAL THERAPY, INC.
Location Address165 N REDWOOD DR, SUITE #120San Rafael, CA 94903-1969
Mailing Address165 North Redwood Drive, Suite #120San Rafael, CA 94903 · (415) 499-0278
Phone(415) 499-0278
Organization SubpartNo
Authorized OfficialAndrew Edward KellyOwner · (415) 499-0278
Enumeration DateMarch 20, 2007
Last NPPES UpdateApril 1, 2008
✔ NPI 1275658148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT15707
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
165 N REDWOOD DR, San Rafael, CA 94903
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Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ31680ZCA · Group Number
Medicare PINDC6851CA

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 6

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

MS. ALISSA MICHELLE SANCHEZ P.T.
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
ALYSSA KEENEY-ROE PT, MS
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
DR. JESSE RUSSELL MODICA P.T., D.P.T., M.S.
Physical Therapist (Orthopedic)
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. MATT W SELLERS P.T.
Specialist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. ANDREW EDWARD KELLY P.T.
Physical Therapist
165 N REDWOOD DR
SAN RAFAEL, CA 94903
Marin County (415) 499-0278
MR. JOHN CHRIS BESONIS P.T.
Physical Therapist
165 N REDWOOD DR, SUITE 120
SAN RAFAEL, CA 94903
Marin County (415) 499-0278

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 Marin Physical Therapy, Inc.'s NPI number?

The NPI number for Marin Physical Therapy, Inc. is 1275658148. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Marin Physical Therapy, Inc. located?

Marin Physical Therapy, Inc. is located at 165 N Redwood Dr Suite #120, San Rafael, CA 94903. The listed phone number is (415) 499-0278.

What is Marin Physical Therapy, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Marin Physical Therapy, Inc. was last updated on April 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.