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

Jesus Antonio Prado

Individual provider Physical Therapy Clinic/Center · NPI 1982370581

Jesus Antonio Prado is a Physical Therapist in Private Practice in Mill Valley, California. Qualified in 2021, 5 years ago. Practices with Presidio Sport and Medicine, Inc, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

23 Reed Blvd
Mill Valley, CA 94941-2334
Phone: (415) 888-2289
Show map & directions

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

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 300647 (CA)

Record details

NPI number1982370581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 23, 2021
Last updated in NPPESAugust 23, 2021
Certification dateAugust 23, 2021
Mailing address2830 Pine St, Napa, CA 94558-5829

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Presidio Sport And Medicine, Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mill Valley