NPIMap

Organization Active NPI

Rodney R. Heschong, RPT, Inc.

  • Orthopedic Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1063520724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
00PT84220 Issued in CA
Legal business name
RODNEY R. HESCHONG, RPT, INC.
Practice address
619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468
Phone
(415) 388-5223
Fax
(415) 388-5270
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.
Title
Owner / Physical Therapist
Phone
(415) 388-5223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 00PT84220 CA Primary

Addresses

Primary practice location

619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468

Mailing address

619 E Blithedale Ave
Suite B
Mill Valley, CA 94941-1468
Phone (415) 388-5223

Other names 1

  • Mill Valley Physical Therapy and Sports Rehabiliation Doing business as

National Provider Directory

National Provider Directory

Locations

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

619 E Blithedale Ave
Ste B
Mill Valley, CA 94941
Phone (415) 238-6470

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063520724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E BLITHEDALE AVE",
            "address_2": "SUITE B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411468",
            "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": "SUITE B",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411468",
            "telephone_number": "415-388-5223",
            "fax_number": "415-388-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY R. HESCHONG, RPT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "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": "00PT84220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Physical Therapy and Sports Rehabiliation",
            "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 Aug 22, 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.