Organization Active NPI

Ez Rehab Physical Therapy Inc.

  • Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1790979151
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19645 Issued in CA
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

Updated by the provider on Aug 29, 2007

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT19645 CA Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X PT19645 CA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.