Stacey Elizabeth Anheier, DPT
Individual provider Active NPI Physical Therapist · Novato, CA
NPI 1750650784 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1750650784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 38484 (CA)
- Practice address
- 88 Rowland Way Ste 250
Novato, CA 94945-5062 - Phone
- (415) 898-1311
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38484 | CA | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | 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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38484 | CA | Yes |
Addresses
Primary practice location
88 Rowland Way Ste 250
Novato, CA 94945-5062
Mailing address
6221 Omaha CT
San Jose, CA 95123-5521
Phone (408) 656-7258
Other providers in Novato, CA
- Hamid Amiri
- Rajiv Joginder Anand
- David C Anderson
- Molica Anderson
- Margaret Ann Anglade
- Ziba Ansari-Jaberi
- Shira Marla Appell
- Joanne Arauzo
- Audriana Noel Arceneaux
- Markel Archie
All providers in Novato, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.