ACTIVE MARIN PHYSICAL THERAPY INC (NPI# 1184852766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184852766 |
| Entity Type | Organization |
| Organization Name | ACTIVE MARIN PHYSICAL THERAPY INC |
| Other Organization Name | CYNTHIA LEWTON DEHAN |
| Practice Address |
5 Bon Air Rd #c116 Larkspur CA 94939-1143 |
| Mailing Address |
5 Bon Air Rd # C116 Larkspur CA 94939-1143 |
| Practice Telephone | 4152252923 |
| Practice Fax Number | 4159241770 |
| Mailing Telephone | 4152252923 |
| Mailing Fax Number | 4159241770 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2009-07-24 |
| Authorized Official Name | MS. CYNTHIA LEWTON DEHAN (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4152252923 |
| Authorized Official Credential | MS, PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
24013 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cynthia Lewton Dehan | Doing Business As Name - Organization |
| Street Address |
5 BON AIR RD #C116 |
| City | LARKSPUR |
| State | CA |
| Zip Code | 94939-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760771901 | Benjamin Stahl | Surgery | Prima Medical Group, 5 Bon Air Road, #101, Larkspur, CA 94939 | 2011-03-28 |
| 1215100383 | Richard William Brenner | Psychiatry & Neurology | 980 Magnolia Ave, Ste 8, Larkspur, CA 94939 | 2008-04-09 |
| 1053584680 | Todd A Maderis | Acupuncturist | 1100 Larkspur Landing Cir #255, Larkspur, CA 94939 | 2008-04-03 |
| 1073709416 | Arundathi Shenoy Malladi | Internal Medicine | 2 Bon Air Rd., #150, Larkspur, CA 94939 | 2007-09-19 |
| 1386855567 | Katherine Louise Chick | Internal Medicine | 980 Magnolia Avenue, Suite 6a, Larkspur, CA 94939 | 2007-05-27 |
| 1639215148 | David W Rose | Chiropractor | 641 Magnolia Ave, #1, Larkspur, CA 94939 | 2007-01-30 |
| 1205988623 | Jay R Salzman | Dentist | 2200 Larkspur Landing Circle, Larkspur, CA 94939 | 2007-01-17 |
| 1497782585 | Katherine Manning | Physical Therapist | 2801larkspur Landing Circle, Larkspur, CA 94939 | 2006-06-26 |
| 1720067226 | Jan Ellen Maisel | Pediatrics | 5 Bon Air Road, Ste. 105, Larkspur, CA 94939 | 2006-01-12 |
| 1740267715 | Jacqueline Susanna Chan | Family Medicine | 1100 Larkspur Landing Circle #255, Larkspur, CA 94939 | 2005-12-29 |
| Find all providers in zip 94939 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
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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.