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

Thad Summary

Individual provider Physical Therapist · NPI 1285105106

Thad Summary is a Physical Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

2054 Marble St
Santa Rosa, CA 95407-5446
Phone: (415) 847-7734
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT22854 (CA)

Record details

NPI number1285105106
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018

Other providers in Santa Rosa