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

Michael Mottola, PTDPT

Individual provider Physical Therapist · NPI 1285901025

Michael Mottola, PTDPT is a Physical Therapist in Private Practice in Menlo Park, California. Qualified in 2010, 16 years ago. Practices with Sport and Spine Therapy of Marin Inc, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, New York and Texas.

Years since qualifying
16
Licensed in
CA, NY, TX
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

68 Willow Rd
Menlo Park, CA 94025-3653
Phone: (866) 839-6979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27043 Baker Potts Rd, Harlingen, TX 78552-3761 — (518) 339-8192

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 37679 (CA)
Physical Therapist Taxonomy 225100000X · Licence 033010 (NY)
Physical Therapist Taxonomy 225100000X · Licence 1200661 (TX)

Record details

NPI number1285901025
Entity typeIndividual (Type 1)
GenderMale
Credentials PTDPT
Sole proprietorYes
NPI enumeratedNovember 22, 2011
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024
Mailing address220 Greenfield Ave, San Anselmo, CA 94960-2416

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Sport And Spine Therapy Of Marin Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Menlo Park