MR. RUSTEM IXANOV MS,PT
NPI 1982771481
Physical Therapist in Santa Rosa, CA

Active since November 29, 2006
3550 ROUND BARN BLVD # 112, SANTA ROSA, CA 95403(707) 566-5488 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Rustem Ixanov Ms,pt NPPES

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

MR. RUSTEM IXANOV MS,PT (NPI 1982771481) is an individual physical therapist in Santa Rosa, California, licensed in California (PT 32358) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1982771481
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. RUSTEM IXANOVCredential: MS,PT
Location Address3550 ROUND BARN BLVD # 112Santa Rosa, CA 95403-1796
Mailing Address3550 Round Barn Blvd # 112Santa Rosa, CA 95403-1796 · (707) 566-5488
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1982771481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT 32358
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3550 ROUND BARN BLVD # 112, Santa Rosa, CA 95403

Other Names 1

Other Name (5)Mr. Roustem Ixanov

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 Rustem Ixanov's NPI number?

The NPI number for Rustem Ixanov is 1982771481. It was assigned to this individual provider in the NPPES registry on November 29, 2006. The provider is also known as Mr. Roustem Ixanov.

Where is Rustem Ixanov located?

Rustem Ixanov practices at 3550 Round Barn Blvd # 112, Santa Rosa, CA 95403. The listed phone number is (707) 566-5488.

What is Rustem Ixanov's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Rustem Ixanov was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.