CHRISTOPHER MICHAEL MINNIS (NPI# 1043740749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043740749 |
Entity Type | Individual |
Full Name | CHRISTOPHER MICHAEL MINNIS |
Credential | DPT |
Practice Address |
1099 D St San Rafael CA 94901 |
Mailing Address |
1266 Stanyan St Apt 11 San Francisco CA 94117-3857 |
Practice Telephone | 4155328335 |
Practice Fax Number | 4157217346 |
Enumeration Date | 2017-06-14 |
Last Update Date | 2018-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
294806 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2510 Belmar Blvd, Wall, NJ 077193948 | 7326811122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740899913 | Christopher Joseph Minnis | Dentist | 505 E Alcott St, Kalamazoo, MI 49001-6144 | 2020-07-23 |
Street Address |
1099 D ST |
City | SAN RAFAEL |
State | CA |
Zip Code | 94901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881814747 | Richard Creaghe | Dentist | 1099 D St, Suite #206, San Rafael, CA 94901-2829 | 2007-04-26 |
1063974517 | Select Physical Therapy Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 1099 D St, San Rafael, CA 94901-2829 | 2019-04-03 |
1841682895 | Brianna Hitman | Physical Therapist | 1099 D St, Suite 105, San Rafael, CA 94901-2829 | 2015-02-28 |
1669805008 | Caryn Papiro | Physical Therapist | 1099 D St, San Rafael, CA 94901-2829 | 2013-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
Find all providers in zip 94901 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962050658 | Bay Mobile Physical Therapy | Physical Therapist | 310 Channing Way Apt 312, San Rafael, CA 94903-2630 | 2019-08-27 |
1417593294 | Tricia Rose Serres | Physical Therapist | 1099 D St Ste 105, San Rafael, CA 94901-2839 | 2019-11-26 |
1679908289 | Claire Alexandra Morrow | Physical Therapist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2013-09-13 |
1700043221 | Jesse Russell Modica | Physical Therapist | 165 N Redwood Dr, Suite 120, San Rafael, CA 94903-1969 | 2008-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
Find all providers with the same taxonomy |
City | SAN RAFAEL |
Zip Code | 94901 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.