1. Home
  2. Directory
  3. California
  4. Mill Valley
  5. Specialist
  6. NPI Profile

MICHAEL K LEARY PT
NPI 1508966060
Specialist in Mill Valley, CA

Active since September 25, 2006
639 E BLITHEDALE AVE, MILL VALLEY, CA 94941(415) 310-8834 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael K Leary Pt NPPES

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

MICHAEL K LEARY PT (NPI 1508966060) is an individual specialist in Mill Valley, California, licensed in California (PT107406) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1508966060
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMICHAEL K LEARYCredential: PT
Location Address639 E BLITHEDALE AVEMill Valley, CA 94941-1412
Mailing Address51 Chipman PlSan Anselmo, CA 94960-2705 · (415) 310-8834 · Fax (415) 485-0702
Phone(415) 310-8834
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508966060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT107406
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.
639 E BLITHEDALE AVE, Mill Valley, CA 94941
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedOPT107460CA

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 Michael Leary's NPI number?

The NPI number for Michael Leary is 1508966060. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Michael Leary located?

Michael Leary practices at 639 E Blithedale Ave, Mill Valley, CA 94941. The listed phone number is (415) 310-8834.

What is Michael Leary'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 Michael Leary was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.