NPIMap

Organization Active NPI

West Marin Physical Therapy

  • Physical Therapist
  • Point Reyes Station, CA
National Provider Identifier
1740210715
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13083 Issued in CA
Legal business name
WEST MARIN PHYSICAL THERAPY
Doing business as
West Marin Physical Therapy
Practice address
11431 State Route One
Suite 9
Point Reyes Station, CA 94956
Phone
(415) 663-9216
NPI assigned
Jul 4, 2006
Last updated
May 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Freda Dorothy Weitzer, DPTNPI 1477062537
Title
Owner
Phone
(415) 663-9216

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: 193200000X MULTI-SPECIALTY GROUP 225100000X PT13083 CA Primary

Addresses

Primary practice location

11431 State Route One
Suite 9
Point Reyes Station, CA 94956

Mailing address

PO Box 1264
Point Reyes Station, CA 94956-1264
Phone (415) 663-9216

Other names 2

  • West Marin Physical Therapy Doing business as
  • Freda Dorothy Weitzer DBA West Marin Physical Therapy Other name

National Provider Directory

National Provider Directory
Tax ID family
Amy F Schliftman Dba West Marin Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1740210715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1264",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949561264",
            "telephone_number": "415-663-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11431 STATE ROUTE ONE",
            "address_2": "SUITE 9",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-663-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MARIN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "WEITZER",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-663-9216",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Marin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Marin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Freda Dorothy Weitzer DBA West Marin Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Point Reyes Station, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.