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

Robert Blade Pietila

Individual provider Physical Therapist · NPI 1679408314

Robert Blade Pietila is a Physical Therapist in Private Practice in San Anselmo, California. Qualified in 2020, 6 years ago. Practices with Sport and Spine Therapy of Marin Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2026

Practice location Address checks out

220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone: (415) 366-9120
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 310357 (CA)

Record details

NPI number1679408314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2026
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
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 2020 (6 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 San Anselmo