Active NPI
Ez Rehab Physical Therapy Inc.
- Physical Therapist
- Mill Valley, CA
National Provider Identifier
1790979151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19645
- Legal business name
- EZ REHAB PHYSICAL THERAPY INC.
- Practice address
- 591 Redwood Hwy Ste 5210
Mill Valley, CA 94941-3017 - Phone
- (415) 381-9030
- Fax
- (415) 381-9040
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ewa Zaborowski, DPT
- Title
- Physical Therapist
- Phone
- (415) 381-9030
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19645 | CA | Primary |
| Sports Physical Therapist | 2251S0007X | PT19645 | CA | |
| Massage Therapist | 225700000X | PT19645 | CA |
Addresses
Primary practice location
591 Redwood Hwy Ste 5210
Mill Valley, CA 94941-3017
Mailing address
PO Box 10755
San Rafael, CA 94912-0755
Phone (415) 381-9030
National Provider Directory
National Provider DirectoryLocations
591 Redwood Hwy Frontage Rd
Ste 5210
Mill Valley, CA 94941
Phone (415) 381-9030
591 Redwood Hwy Frontage Rd
Ste 2145
Mill Valley, CA 94941
Phone (415) 381-9030
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physical Therapist
- Mill Valley, CA
- NPI 1598034399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1790979151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10755",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949120755",
"telephone_number": "415-381-9030",
"fax_number": "415-381-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 REDWOOD HWY STE 5210",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949413017",
"telephone_number": "415-381-9030",
"fax_number": "415-381-9040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EZ REHAB PHYSICAL THERAPY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "ZABOROWSKI",
"authorized_official_first_name": "EWA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "415-381-9030",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19645",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT19645",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "PT19645",
"primary": false
}
],
"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 Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.