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

Tanya Robin Gibsone Fredricks, MPT, CEEAA

Individual provider Orthopedic Physical Therapist · NPI 1639539380

Tanya Robin Gibsone Fredricks, MPT, CEEAA is an Orthopedic Physical Therapist in San Anselmo, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

220 Greenfield Ave
San Anselmo, CA 94960-2416
Phone: (415) 457-4454
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 21753 (CA)

Record details

NPI number1639539380
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT , CEEAA
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESFebruary 23, 2016

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