Active NPI
Trina Gwendolyn Mann, DPT
- Physical Therapist
- Mill Valley, CA
National Provider Identifier
1730247347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33356
- Practice address
- 23 Reed Blvd
Mill Valley, CA 94941-2301 - Phone
- (415) 383-1669
- Fax
- (414) 156-3413
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 33356 | CA | Primary |
Addresses
Primary practice location
23 Reed Blvd
Mill Valley, CA 94941-2301
Mailing address
23 Reed Blvd
Mill Valley, CA 94941-2301
Phone (415) 383-1669
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33356 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Sports Physical Therapy Institute | Physical Therapist | Current | Accepting new patients |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Past | Accepting new patients |
| Sport & Spine Therapy of Marin Inc | Physical Therapist | Past | Accepting new patients |
| Agile Physical Therapy Inc | Past | Accepting new patients |
Locations
6082 Edinger Ave
Ste 100
Huntington Beach, CA 92647
Phone (714) 840-1505
Organizations & group practices 4
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.
-
- Orthopedic Physical Therapist
- Huntington Beach, CA
- NPI 1164752473
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Orthopedic Physical Therapist
- San Anselmo, CA
- NPI 1154388577
-
- Orthopedic Physical Therapist
- Novato, CA
- NPI 1174578199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1730247347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 REED BLVD",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412301",
"telephone_number": "415-383-1669",
"fax_number": "415-634-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 REED BLVD",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412301",
"telephone_number": "415-383-1669",
"fax_number": "414-156-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "TRINA",
"middle_name": "GWENDOLYN",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "33356",
"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 Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.