Organization Active NPI

Mill Valley Physical Therapy Partnership

Doing business as Mill Valley Physical Therapy

  • Orthopedic Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1013256361
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
MILL VALLEY PHYSICAL THERAPY PARTNERSHIP
Doing business as
Mill Valley Physical Therapy
Practice address
619 E Blithedale Ave
BLDG. B
Mill Valley, CA 94941-1482
Phone
(415) 388-5223
Fax
(415) 388-5270
NPI assigned
Feb 6, 2013
Last updated
Mar 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rodney R Heschong, R.P.T.NPI 1346357910
Title
Owner / Physical Therapist
Phone
(415) 388-5223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X CA Primary

Addresses

Primary practice location

619 E Blithedale Ave
BLDG. B
Mill Valley, CA 94941-1482

Mailing address

619 E Blithedale Ave
BLDG. B
Mill Valley, CA 94941-1482
Phone (415) 388-5223

Other names 1

  • Mill Valley Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1013256361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E BLITHEDALE AVE",
            "address_2": "BLDG. B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411482",
            "telephone_number": "415-388-5223",
            "fax_number": "415-388-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E BLITHEDALE AVE",
            "address_2": "BLDG. B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411482",
            "telephone_number": "415-388-5223",
            "fax_number": "415-388-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VALLEY PHYSICAL THERAPY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "HESCHONG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-388-5223",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.