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

Sport & Spine Therapy of Marin Inc

Organization Orthopedic Physical Therapist · NPI 1154388577

Sport & Spine Therapy of Marin Inc is an Orthopedic Physical Therapist in San Anselmo, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone: (415) 457-4454
Fax: (415) 457-4944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1154388577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Ismail — President · (209) 353-1988
NPI enumeratedApril 28, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing address220 Greenfield Ave, San Anselmo, CA 94960-2416

Other providers in San Anselmo