SPORT & SPINE THERAPY OF MARIN INC
NPI 1861852964
Physical Therapist - Orthopedic in Petaluma, CA
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 1861852964) is a healthcare organization registered as an orthopedic in Petaluma, California and active in the NPI registry since March 2016. The organization lists Steven Thompson, Owner/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Sport & Spine Therapy Of Marin Inc, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 27Source: 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 1861852964. It was assigned to this organization in the NPPES registry on March 2, 2016.
Where is Sport & Spine Therapy Of Marin Inc located?
Sport & Spine Therapy Of Marin Inc is located at 719 Southpoint Blvd Suite A, Petaluma, CA 94954. The listed phone number is (707) 981-8062.
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). 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 October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Sport & Spine Therapy Of Marin Inc · NPI 1861852964
Orthopedic organization in Petaluma, California. Organization record, active in the CMS NPPES registry since March 2, 2016.
## Identity
- **NPI:** 1861852964 (Entity type: Organization)
- **Enumerated:** March 2, 2016
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Organization subpart:** No
- **Authorized official:** Steven Thompson, OWNER/CEO
## Practice location
- **Address:** 719 SOUTHPOINT BLVD, SUITE A, Petaluma, CA 94954-1495
- **Phone:** (707) 981-8062 · **Fax:** (707) 981-8684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (23), Occupational Therapist in Private Practice (4); [full list](https://npiprofile.com/npi/1861852964/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1861852964) · Data from the CMS NPPES public registry.