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

Michael Petrak, PT

Individual provider Physical Therapist · NPI 1942235684

Michael Petrak, PT is a Physical Therapist in Private Practice in Pleasanton, California. Qualified in 2002, 24 years ago. Practices with Ida L Coryell Hirst, a 7-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

7090 Johnson Dr
Pleasanton, CA 94588-3328
Phone: (925) 227-8555
Fax: (925) 227-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28036 (CA)

Record details

NPI number1942235684
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2296 Country Dr, Fremont, CA 94536-5315

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ida L Coryell Hirst — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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