Individual provider Active NPI

Janice E. Tomita, RPT

  • Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1871779538
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00PT97250 Issued in CA
Practice address
591 Redwood Hwy Frontage Rd Ste 2175
Mill Valley, CA 94941-6015
Phone
(415) 381-0541
Fax
(415) 381-0591
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00PT97250 CA Primary

Addresses

Primary practice location

591 Redwood Hwy Frontage Rd Ste 2175
Mill Valley, CA 94941-6015

Mailing address

591 Redwood Hwy Frontage Rd Ste 2175
Mill Valley, CA 94941-6015
Phone (415) 381-0541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000282 CA Practitioner - Physical Therapist in Private Practice 1850568817 Practice locations: Mill Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

591 Redwood Hwy Frontage Rd
Suite 2175
Mill Valley, CA 94941-6015
Phone (415) 381-0541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00PT97250CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janice Tomita PT & Associates Physical Therapist PastSince Mar 24, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1871779538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY FRONTAGE RD STE 2175",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416015",
            "telephone_number": "415-381-0541",
            "fax_number": "415-381-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HWY FRONTAGE RD STE 2175",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416015",
            "telephone_number": "415-381-0541",
            "fax_number": "415-381-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITA",
        "first_name": "JANICE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "00PT97250",
            "primary": true
        }
    ],
    "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 Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.