Carolyn Coombs

Primary specialty

KinesiotherapistTaxonomy code 226300000X

Practice address

1800 4TH St
San Rafael, CA 94901-2648

Phone

(443) 286-7613

NPI assigned

Aug 12, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1023629169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012648",
            "telephone_number": "443-286-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 4TH ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012648",
            "telephone_number": "443-286-7613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Market St Ste 615",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941053208",
            "country_code": "US",
            "telephone_number": "443-286-7613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "CAROLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Institute for Psychotherapy
• Lucy Concepcion Mitchell, RPH
• Chel Sea Conrad
• Mari Rae Conti, M.A., LMFT
• Ryan Cook, MD
• Chelsea Cooney, LMFT
• Molly Dee Cooper
• Ashley Coover
• Brianna Copeland, R. EEG T.
• Jessica Copeland, MA IN COUNSELING

• Kinesiotherapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Kinesiotherapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.