Active NPI
Quantum Physical Therapy
- Physical Therapist
- Mill Valley, CA
National Provider Identifier
1164501094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27236
- Legal business name
- QUANTUM PHYSICAL THERAPY
- Practice address
- 655 Redwood Hwy
Suite 309
Mill Valley, CA 94941-3034 - Phone
- (415) 381-8888
- Fax
- (415) 381-8895
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravi Lescher, M.P.T.
- Title
- Physical Therapist/Owner
- Phone
- (415) 381-8888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27236 | CA | Primary |
Addresses
Primary practice location
655 Redwood Hwy
Suite 309
Mill Valley, CA 94941-3034
Mailing address
655 Redwood Hwy
Suite 309
Mill Valley, CA 94941-3034
Phone (415) 381-8888
National Provider Directory
National Provider DirectoryLocations
655 Redwood Hwy Frontage Rd
Ste 309
Mill Valley, CA 94941
Phone (415) 381-3838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Mill Valley, CA
- NPI 1114129186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164501094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 REDWOOD HWY",
"address_2": "SUITE 309",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413034",
"telephone_number": "415-381-8888",
"fax_number": "415-381-8895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 REDWOOD HWY",
"address_2": "SUITE 309",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413034",
"telephone_number": "415-381-8888",
"fax_number": "415-381-8895"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUANTUM PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LESCHER",
"authorized_official_first_name": "RAVI",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
"authorized_official_telephone_number": "415-381-8888",
"authorized_official_credential": "M.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "27236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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.