NPIMap

Organization Active NPI

Mvjbp Physical Therapy Corporation

  • Physical Therapist
  • Corte Madera, CA
National Provider Identifier
1417434705
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36869 Issued in CA
Legal business name
MVJBP PHYSICAL THERAPY CORPORATION
Practice address
150 Nellen Ave Ste 100
Corte Madera, CA 94925-1197
Phone
(415) 238-6470
Fax
(310) 861-1922
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Jaina Bhagat Patel, DPTNPI 1619083045
Title
Owner/Physical Therapist
Phone
(415) 238-6470

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 36869 CA Primary

Addresses

Primary practice location

150 Nellen Ave Ste 100
Corte Madera, CA 94925-1197

Mailing address

150 Nellen Ave Ste 100
Corte Madera, CA 94925-1197
Phone (415) 238-6470

Other names 1

  • Mill Valley Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122002622 CA Part B Supplier - Clinic/Group Practice 5799022208 Receives reassigned benefits from 3 practitioners
Practice locations: Corte Madera, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1417434705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE STE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251197",
            "telephone_number": "415-238-6470",
            "fax_number": "310-861-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NELLEN AVE STE 100",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251197",
            "telephone_number": "415-238-6470",
            "fax_number": "310-861-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVJBP PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JAINA",
        "authorized_official_middle_name": "BHAGAT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "415-238-6470",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mill Valley Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.