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

Krishna Wittman, OTL, MPT, CEAS

Individual provider Occupational Therapist · NPI 1639693013

Krishna Wittman, OTL, MPT, CEAS is an Occupational Therapist in San Rafael, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

4050 Redwood Hwy Ste G
San Rafael, CA 94903-5149
Phone: (415) 479-7100
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 26347 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 5951 (CA)

Record details

NPI number1639693013
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTL , MPT , CEAS
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 27, 2017

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