Advanced Hyperbaric Recovery, Inc

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

200422610009 Issued in CA

Legal business name

ADVANCED HYPERBARIC RECOVERY, INC

Practice address

1118 Irwin St
San Rafael, CA 94901-3322

Phone

(415) 785-8652

Fax

(415) 785-8697

NPI assigned

Sep 4, 2007

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janine Marie Thill, EMT, CHT

Title

Program Director

Phone

(415) 785-8652

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1720272586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 IRWIN ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013322",
            "telephone_number": "415-785-8652",
            "fax_number": "415-785-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 IRWIN ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013322",
            "telephone_number": "415-785-8652",
            "fax_number": "415-785-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HYPERBARIC RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "THILL",
        "authorized_official_first_name": "JANINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "415-785-8652",
        "authorized_official_credential": "EMT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CA",
            "license": "200422610009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Clinic/Center in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.