| Marissa Ruiz, | |
|
220 Greenfield Ave, San Anselmo, CA 94960-2416 | |
| (415) 213-2233 | |
| Not Available |
| Full Name | Marissa Ruiz |
|---|---|
| Gender | Female |
| 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 |
|---|---|---|---|
| 1700598869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1361013 (Texas) | Secondary |
| 225100000X | Physical Therapist | 303289 (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 |
|---|---|
| Marissa Ruiz, 3802 Amanda Ln, Robstown, TX 78380-2059 Ph: () - | Marissa Ruiz, 220 Greenfield Ave, San Anselmo, CA 94960-2416 Ph: (415) 213-2233 |
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 | |
Dr. Jeremy Roger, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 220 Greenfield Ave, San Anselmo, CA 94960 Phone: 415-457-4454 | |
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 |