Sport & Spine Therapy Of Marin Inc - Medicare Physical Therapist in Novato, CA

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Sport & Spine Therapy Of Marin Inc is a medicare enrolled "Physical Therapist - Orthopedic" provider in Novato, California. Their current practice location is 88 Rowland Way, Suite 250, Novato, California. You can reach out to their office (for appointments etc.) via phone at (415) 898-1311.

Sport & Spine Therapy Of Marin Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Sport & Spine Therapy Of Marin Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1174578199.

Contact Information

Sport & Spine Therapy Of Marin Inc
88 Rowland Way, Suite 250,
Novato, CA 94945-5042
(415) 898-1311
(415) 897-0741

Map and Direction




Healthcare Provider's Profile

Full NameSport & Spine Therapy Of Marin Inc
TypeFacility
SpecialityPhysical Therapist - Orthopedic
Location88 Rowland Way, Novato, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174578199
  • Provider Enumeration Date: 05/24/2006
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4981617180
  • Enrollment ID: O20060710000148

Medical Identifiers

Medical identifiers for Sport & Spine Therapy Of Marin Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174578199NPI-NPPES
BK 875OtherCAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sport & Spine Therapy Of Marin Inc acts as a billing entity for following providers:
Provider NameCandyce A Powell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205886561
PECOS PAC ID: 1557312527
Enrollment ID: I20050208000980
Provider NameRebecca Nicoll Jensen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1134277437
PECOS PAC ID: 2264532324
Enrollment ID: I20070703000394
Provider NameKristina Svenson-brown
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932149564
PECOS PAC ID: 2860541810
Enrollment ID: I20090521000211
Provider NameOle Christian Borgesen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043413230
PECOS PAC ID: 0648322313
Enrollment ID: I20090710000574
Provider NameMichael Mottola
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285901025
PECOS PAC ID: 4183854656
Enrollment ID: I20140228000850
Provider NameJessica Mcclain
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1689154064
PECOS PAC ID: 6800148263
Enrollment ID: I20181012000299
Provider NameLindsey Umapathy Riley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750865366
PECOS PAC ID: 4880948272
Enrollment ID: I20181121002732
Provider NameJoanne Agil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235601634
PECOS PAC ID: 5294075610
Enrollment ID: I20190321002966
Provider NameJennifer Kirk Sorrow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1821691296
PECOS PAC ID: 6608281118
Enrollment ID: I20210216000725
Provider NameTaylor R Sloat
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316532567
PECOS PAC ID: 0648688630
Enrollment ID: I20210412001331
Provider NameGianna Niole Colla
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205213873
PECOS PAC ID: 5193133882
Enrollment ID: I20210419000749
Provider NameCathleen Sickles
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841869237
PECOS PAC ID: 3274930953
Enrollment ID: I20210922002684
Provider NameJeffrey Alan Dean
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437820107
PECOS PAC ID: 7315336153
Enrollment ID: I20211116001920
Provider NameJacob Alexander Taylor Sowatzke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275291932
PECOS PAC ID: 3678964871
Enrollment ID: I20211223000328
Provider NameMallory Matteo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1205213451
PECOS PAC ID: 0749578128
Enrollment ID: I20220216001610
Provider NameNicole Coleman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1447773718
PECOS PAC ID: 5890029607
Enrollment ID: I20220321000706
Provider NameAva Steffen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700401445
PECOS PAC ID: 1153717988
Enrollment ID: I20220405000411
Provider NameYi Ching Lin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922654193
PECOS PAC ID: 1658767116
Enrollment ID: I20220408001647
Provider NameMichael Cruz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407395726
PECOS PAC ID: 1557645777
Enrollment ID: I20220711001452
Provider NameCorey Voisine
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689126856
PECOS PAC ID: 7618256413
Enrollment ID: I20220725001455
Provider NameAndrew Deering
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942879994
PECOS PAC ID: 1052715851
Enrollment ID: I20220906000098
Provider NameCourtney Buschard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295304467
PECOS PAC ID: 5395146252
Enrollment ID: I20220912000678
Provider NameMarissa Aurora Ruiz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700598869
PECOS PAC ID: 1658742333
Enrollment ID: I20230116000946
Provider NameEdgardo Cuellar-franco
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1467164525
PECOS PAC ID: 2466823935
Enrollment ID: I20230119002031
Provider NameMeghan Marie Alonso
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841988789
PECOS PAC ID: 7315306099
Enrollment ID: I20230629001010
Provider NameJeremy Roger
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275240848
PECOS PAC ID: 0244691624
Enrollment ID: I20230801004051
Provider NameJennifer K Glatzer
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1699980839
PECOS PAC ID: 0143678607
Enrollment ID: I20231122002060
Provider NameGabrielle Trakhter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508633009
PECOS PAC ID: 9032569447
Enrollment ID: I20231227003221
Provider NameKevin Patrick Mccarron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225864325
PECOS PAC ID: 5799226189
Enrollment ID: I20240925003350
Provider NameDaniel Sheldon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386476695
PECOS PAC ID: 5395265946
Enrollment ID: I20250226000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sport & Spine Therapy Of Marin Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sport & Spine Therapy Of Marin Inc
Po Box 950, Suite 250,
Novato, CA 94948-0950

Ph: (415) 898-1311		Sport & Spine Therapy Of Marin Inc
88 Rowland Way, Suite 250,
Novato, CA 94945-5042

Ph: (415) 898-1311

Reviews and Comments


Physical Therapist in Novato, CA

Ole Christian Borgesen, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945
Phone: 415-898-1311    Fax: 415-897-0741
Jaclynn Mcneill, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 607 Louise Ave, Novato, CA 94947
Phone: 415-652-8950    
Miss Ping Wu, P.T.
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Medicare: Not Enrolled in Medicare
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Phone: 415-847-2333    
Anna Justine Zarate,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7100 Redwood Blvd Ste 100, Novato, CA 94945
Phone: 415-945-7285    
Ms. Lisa Dian Paradiso, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
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Phone: 415-898-1311    
Novato Back Care And Sports Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945
Phone: 415-898-1311    Fax: 415-897-0741
Lorraine Andrews Roller, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 7200 Redwood Blvd, #200, Novato, CA 94945
Phone: 415-893-4143    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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