Cristie Bennett, P.T.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Novato, CA
NPI 1104153360 · NPPES record last updated Jan 27, 2010
Key facts
- NPI
- 1104153360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 36186 (CA)
- Practice address
- 165 Rowland Way
Ste. 101
Novato, CA 94945-5038 - Phone
- (415) 898-1311
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novato Back Care and Sports Physical Therapy | Past | Accepting new patients | |
| Sport & Spine Therapy of Marin Inc | Past | Accepting new patients | |
| Sport & Spine Therapy of Marin Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 36186 | CA | Yes |
Addresses
Primary practice location
165 Rowland Way
Ste. 101
Novato, CA 94945-5038
Mailing address
11 Walker Rd
Mill Valley, CA 94941-1682
Phone (530) 400-8532
Other providers in Novato, CA
- Joann Rupert Behm
- Bell and Ellenberg Marriage Counseling, Inc.
- Judith Bell
- Stephanie Rae Bennett-Strauss
- Barbara A Bennett
- Hope Bergmark
- Ramon Berguer
- Steven Berkov
- Jeffrey L Berlant
- Francisco Javier Bernal
All providers in Novato, CA · Physical Medicine & Rehabilitation Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.