Ixander Correa

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

309936 Issued in CA

Practice address

501 Via Casitas
Greenbrae, CA 94904-1901

Phone

(415) 461-2300

NPI assigned

Sep 21, 2026

Last updated

Sep 21, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1790697993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 39TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941162752",
            "telephone_number": "909-441-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 VIA CASITAS",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041901",
            "telephone_number": "415-461-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "IXANDER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rebecca Conroy, NP
• Felicia Coo, PHARMD
• Susan Davis Coopersmith, R.N.
• Anita Corradetti, M.D.
• Tiana Marie Corrado, PHARMD, BCPS
• County of Marin
• County of Marin
• Jessica Lynn Crabbe, DPT
• Jeanne-Marie Elizabeth Crowe, CNM, RN, MS
• Timothy J. Crowley, M.D.

• Physical Therapist in Greenbrae, CA
• Providers in Greenbrae, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.