Individual provider Active NPI

Daniel Sheldon

  • Physical Therapist
  • Novato, CA
National Provider Identifier
1386476695
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42152 Issued in FL
Practice address
88 Rowland Way
Novato, CA 94945-5042
Phone
(415) 898-1311
NPI assigned
Aug 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42152 FL Primary

Addresses

Primary practice location

88 Rowland Way
Novato, CA 94945-5042

Mailing address

1575 Ocean Shore Blvd
Ormond Beach, FL 32176-3675
Phone (407) 451-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42152FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Therapy of Marin Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients
Sport & Spine Therapy of Marin Inc Physical Therapist CurrentSince Feb 3, 2025 Accepting new patients

Locations

88 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 484-1163

220 Greenfield Ave
San Anselmo, CA 94960
Phone (415) 457-4454

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1386476695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 OCEAN SHORE BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321763675",
            "telephone_number": "407-451-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 ROWLAND WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455042",
            "telephone_number": "415-898-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.