Active NPI
Regina Siciliano, DPT
- Physical Therapist
- San Rafael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 309028
- Practice address
- 1099 D St Ste 105
San Rafael, CA 94901-2839 - Phone
- (415) 532-8335
- NPI assigned
- Sep 14, 2018
- Last updated
- Aug 10, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 309028 | CA | Primary |
Addresses
Primary practice location
1099 D St Ste 105
San Rafael, CA 94901-2839
Mailing address
1099 D St Ste 105
San Rafael, CA 94901-2839
Phone (415) 532-8335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1099 D St
San Rafael, CA 94901-2829
Phone (415) 532-8335
501 Via Casitas
Greenbrae, CA 94904-1901
Phone (732) 994-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 309028 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients |
Locations (25 of 44)
10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746
13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787
1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300
2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840
4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019
655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019
2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000
3507 S Mercy Rd
Bldg 8
Gilbert, AZ 85297
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 277-0084
6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424
1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675
2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456
2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922
5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922
126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907
25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866
9401 W Thunderbird Rd
Ste 190
Peoria, AZ 85381
Phone (623) 977-5451
14001 N 7th St
Ste A102
Phoenix, AZ 85022
Phone (602) 548-5445
1661 E Camelback Rd
Ste 152
Phoenix, AZ 85016
Phone (602) 955-8885
20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424
219 E Lexington Ave
Phoenix, AZ 85012
Phone (602) 264-0694
2400 W Dunlap Ave
Ste 145
Phoenix, AZ 85021
Phone (602) 870-1414
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1083287635
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapy Clinic/Center
- Glendale, AZ
- NPI 1235654237
-
dba Banner Physical Therapy and Rehabilitation
- Physical Therapy Clinic/Center
- Peoria, AZ
- NPI 1285271684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1073096061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 D ST STE 105",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012839",
"telephone_number": "415-532-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 D ST STE 105",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012839",
"telephone_number": "415-532-8335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIANO",
"first_name": "REGINA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-14",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "309028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.