Tanya Rg Fredricks (NPI# 1639539380, PAC ID# 0143528331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1639539380 |
| PAC ID by PECOS | 0143528331 |
| Professional Enrollment ID | I20160421001395 |
| Full Name | Tanya Rg Fredricks |
| Organization Legal Name | SPORT AND SPINE THERAPY OF MARIN INC |
| Address |
220 Greenfield Ave San Anselmo CA 94960-2416 |
| Phone Number | 4154574454 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4981617180 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 220 Greenfield Ave, San Anselmo, CA 94960-2416 | 4154574454 | SPORT AND SPINE THERAPY OF MARIN INC |
| Organization Legal Name | SPORT AND SPINE THERAPY OF MARIN INC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ole Borgesen | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Lisa D Paradiso | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Joanne Zeidan | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Michael Mottola | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Steven Willliam Thompson | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Jessica Mcclain | Occupational Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Lindsey S Umapathy | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Joshua Aaron Madonick | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Christopher T Krug | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Kristina Svenson-brown | Physical Therapy | Sport and Spine Therapy of Marin Inc | 88 Rowland Way, Suite 250, Novato, CA 94945-5062 |
| Street Address |
220 GREENFIELD AVE |
| City | SAN ANSELMO |
| State | CA |
| Zip | 94960-2416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey S Umapathy | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Christopher T Krug | Physical Therapy | Sport and Spine Therapy of Marin Inc | 220 Greenfield Ave, San Anselmo, CA 94960-2416 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret M Gruenke | Clinical Social Worker | 156 A Oak Springs Dr, San Anselmo, CA 94960-1327 | |
| Diane Hazelt Brown | Psychologist, Clinical | 35 Salinas Ave, San Anselmo, CA 94960-1642 | |
| Lassa J Frank | Optometry | 1604 Sir Francis Drake Blvd, San Anselmo, CA 94960-1845 | |
| Alicia E Smart | Clinical Psychologist | 895 Sir Francis Drake Blvd, San Anselmo, CA 94960-1916 | |
| Adam H Cantor | Chiropractic | Adam Cantor Professional Chiropractic Corp | 754 Sir Francis Drake Blvd, Suite 2, San Anselmo, CA 94960-1933 |
| Ilkcan Md Cokgor | Neurology | 50 Red Hill Ave, San Anselmo, CA 94960-2424 | |
| Giovanna A. Otfinowski | Psychologist, Clinical | 412 Red Hill Ave, Suite 5, San Anselmo, CA 94960-2468 | |
| David Brody | Psychiatry | 412 Red Hill Ave, Suite 5, San Anselmo, CA 94960-2468 | |
| Maxine L Auerbach | Clinical Social Worker | 412 Red Hill Ave, Suite 5, San Anselmo, CA 94960-2468 | |
| Michael Lee Durphy | Psychiatry | 412 Red Hill Ave, Suite 5, San Anselmo, CA 94960-2468 | |
| Find all physicians in zip 94960 | |||
| City | SAN ANSELMO |
| Zip Code | 94960 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SAN ANSELMO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tanya Rg Fredricks.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.