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

Mr. Richard John Waldron, PT

Individual provider Physical Therapist · NPI 1962486464

Mr. Richard John Waldron, PT is a Physical Therapist in San Rafael, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2
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

1099 D St Ste 105
San Rafael, CA 94901-2839
Phone: (415) 532-8395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT15104 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT15104 (CA)

Record details

NPI number1962486464
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESSeptember 7, 2012

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