| Dr Jeremy Roger, PT, DPT | |
| 
					220 Greenfield Ave, San Anselmo, CA 94960-2416  | |
| (415) 457-4454 | |
| Not Available | 
| Full Name | Dr Jeremy Roger | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 220 Greenfield Ave, San Anselmo, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275240848 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | 303742 (California) | Primary | 
| Provider Name | Sport & Spine Therapy Of Marin Inc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1174578199 PECOS PAC ID: 4981617180 Enrollment ID: O20060710000148  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jeremy Roger, PT, DPT 3100 W Rolling Hills Cir Apt 309, Davie, FL 33328-1956 Ph: (484) 892-5183  | Dr Jeremy Roger, PT, DPT 220 Greenfield Ave, San Anselmo, CA 94960-2416 Ph: (415) 457-4454  | 
Erika Nicole Lindland, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454  | |
Jason Antone Santos, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944  | |
Ms. Andrea H Roussos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 Los Angeles Blvd, San Anselmo, CA 94960 Phone: 141-525-9028  | |
Taylor Sloat,  Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454  | |
Mr. Steven William Thompson, MPT, OCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 Fax: 415-457-4944  | |
Dr. Jeffrey Alan Dean, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454  |