| Mr Richard John Waldron, PT | |
|
1099 D Street Suite 105, San Rafael, CA 94901-2839 | |
| (415) 532-8395 | |
| Not Available |
| Full Name | Mr Richard John Waldron |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 1099 D Street Suite 105, San Rafael, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962486464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT15104 (California) | Secondary |
| 2251X0800X | Physical Therapist - Orthopedic | PT15104 (California) | Primary |
| Provider Name | Joint Academy Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093379158 PECOS PAC ID: 9335570548 Enrollment ID: O20200501002881 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard John Waldron, PT 257 Ethel Ave, Mill Valley, CA 94941-2731 Ph: (415) 302-0456 | Mr Richard John Waldron, PT 1099 D Street Suite 105, San Rafael, CA 94901-2839 Ph: (415) 532-8395 |
Dr. Justin Newcomer, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2020 4th St, San Rafael, CA 94901 Phone: 415-726-7696 | |
Regents Of The University Of California Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 206, San Rafael, CA 94903 Phone: 415-353-7598 | |
Leela Satyendra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4050 Redwood Hwy Ste G, San Rafael, CA 94903 Phone: 415-479-7100 | |
Dr. Rachel Wolfe, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 N San Pedro Rd, 3rd Floor, San Rafael, CA 94903 Phone: 415-491-4751 Fax: 415-491-4754 | |
Cale Engelhardt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2543 | |
Ms. Mary Margaret Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2883 | |
Nancy Aduna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Del Ganado Rd, San Rafael, CA 94903 Phone: 415-479-1209 Fax: 415-446-4476 |