Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Soar Pediatric Physical Therapy

Organization Physical Therapy Clinic/Center · NPI 1801614128

Soar Pediatric Physical Therapy is a Physical Therapy Clinic/Center in San Rafael, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

30 Mitchell Blvd
San Rafael, CA 94903-2034
Phone: (415) 624-9314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1801614128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Purvis — Owner · (415) 624-9314
NPI enumeratedSeptember 26, 2024
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024
Mailing address65 Trellis Dr, San Rafael, CA 94903-3326

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