C H Grieve Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14219 Issued in CA

Legal business name

C H GRIEVE INC

Doing business as

Professional Orthopedic and Sports Care of Marin

Practice address

1299 4TH St
Suite 100
San Rafael, CA 94901

Phone

(415) 454-3838

Fax

(415) 456-1853

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Leann Kay Jensen, PTNPI 1942428552

Title

Physical Therapist Clinic Director

Phone

(415) 454-3838

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Professional Orthopedic and Sports Care of Marin Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leann Kay Jensen, P.T.

  • Physical Therapist
  • Novato, CA
  • NPI 1942428552
  NPD (past) Authorized official
• Craig Steven Hamley, P.T. O.C.S.

  • Orthopedic Physical Therapist
  • Petaluma, CA
  • NPI 1790860542
  NPD (past)
• Michael Joseph Iacovelli, PT

  • Physical Therapist
  • Mill Valley, CA
  • NPI 1831200872
  NPD (past)
• Heidi A Kosakowski, MPT, COMT

  • Orthopedic Physical Therapist
  • Washington, DC
  • NPI 1225182108
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1881798452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 4TH ST",
            "address_2": "SUITE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-3838",
            "fax_number": "415-456-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 4TH ST",
            "address_2": "SUITE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "415-454-3838",
            "fax_number": "415-456-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C H GRIEVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "LEANN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST CLINIC DIRECTOR",
        "authorized_official_telephone_number": "415-454-3838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "14219",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "ZZZ21053Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Orthopedic and Sports Care of Marin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hector Rafael Bustillos-Perez, M.A.
• Kassandra Butkiewicz, PPS
• Rupinder Buttar, DDS
• Lori Jo Bye, R1437090721
• Marcia Tumy Byrnes, RN, FNP
• C-Dental X-Ray, Inc.
• Ca Ya Services LLC (Newport Institute-Bayview)
• Stephanie Caballes
• Cynthia Cabrales
• Francis Cabrera

• Physical Therapist in San Rafael, CA
• Providers in San Rafael, 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 18, 2008; 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.