Dragon Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DRAGON PHYSICAL THERAPY PC

Practice address

24 Marsh Rd
Tiburon, CA 94920-2541

Phone

(646) 821-3390

NPI assigned

Feb 26, 2020

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley J Mak, PT, DPTNPI 1700120037

Title

Owner/Ceo

Phone

(646) 821-3390

Specialties & licenses 1

Addresses

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.

• Ashley J Mak, PT,DPT

  • Physical Therapist
  • Tiburon, CA
  • NPI 1700120037
  NPD Authorized official

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1053945337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MARSH RD",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202541",
            "telephone_number": "646-821-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARSH RD",
            "city": "TIBURON",
            "state": "CA",
            "postal_code": "949202541",
            "telephone_number": "646-821-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGON PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "646-821-3390",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda Cuthbert, PHD., DNP, PMHNP-BC
• Danny Blaine Leeds DDS (Tiburon Family Dental)
• Douglas Marshall Davis, D.D.S.
• Sharon Faye Deburen, NURSE PRACTITIONER
• Jennifer DO
• Ariel Chu Dunn, PHARMD
• Dean Echenberg, M.D., M.P.H., PH.D.
• Michael Edelstein
• Polly S Ely, MFT
• Enlighten Optometry Inc

• Physical Therapy Clinic/Center in Tiburon, CA
• Providers in Tiburon, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.