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

David Sequino Bambilla, DPT

Individual provider Physical Therapist · NPI 1871372789

David Sequino Bambilla, DPT is a Physical Therapist in Private Practice in San Rafael, California. Qualified in 2023, 3 years ago. Practices with Select Cal Physical Therapy PC, a 161-clinician group and works from 4 locations. Licensed in California and Massachusetts.

Years since qualifying
3
Licensed in
CA, MA
In the registry since
2023
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1099 D St Ste 105
San Rafael, CA 94901-2839
Phone: (415) 532-8335
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1661 Worcester Rd Ste 105, Framingham, MA 01701-5405 — (508) 626-2600
  • 11271 New Hampshire Ave, Silver Spring, MD 20904-2631 — (240) 485-1280
  • 30 Hazel Ave, Livingston, NJ 07039-2108 — (862) 485-7440

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 309768 (CA)
Physical Therapist Taxonomy 225100000X · Licence PTL28021 (MA)

Record details

NPI number1871372789
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 28, 2023
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Select Cal Physical Therapy Pc — 161 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in San Rafael