MR. RICHARD JOHN WALDRON PT
NPI 1962486464
Physical Therapist - Orthopedic in San Rafael, CA

Active since November 30, 2005
1099 D STREET SUITE 105, SAN RAFAEL, CA 94901(415) 532-8395 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Richard John Waldron Pt NPPES

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

MR. RICHARD JOHN WALDRON PT (NPI 1962486464) is an individual orthopedic provider in San Rafael, California, licensed in California (PT15104) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1962486464
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameMR. RICHARD JOHN WALDRONCredential: PT
Location Address1099 D STREET SUITE 105San Rafael, CA 94901-2839
Mailing Address257 Ethel AveMill Valley, CA 94941-2731 · (415) 302-0456
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateSeptember 7, 2012
NPI 1962486464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in CA · PT15104
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT15104 (CA)
1099 D STREET SUITE 105, San Rafael, CA 94901

Other Names 1

Other Name (5)Rich Waldron Pt

Other Identifiers 1

Medicare PINFY242ACA

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 Richard Waldron's NPI number?

The NPI number for Richard Waldron is 1962486464. It was assigned to this individual provider in the NPPES registry on November 30, 2005. The provider is also known as Rich Waldron Pt.

Where is Richard Waldron located?

Richard Waldron practices at 1099 D Street Suite 105, San Rafael, CA 94901. The listed phone number is (415) 532-8395.

What is Richard Waldron'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 Richard Waldron was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.