NPIMap

Organization Active NPI

Ross Valley Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Kentfield, CA
National Provider Identifier
1891325403
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROSS VALLEY PHYSICAL THERAPY, INC.
Practice address
901 Sir Francis Drake Blvd Ste B
Kentfield, CA 94904-1502
Phone
(415) 237-4448
Fax
(415) 805-2648
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Dr. Lauren Derby Malachowski, PT, DPT
Title
President
Phone
(415) 237-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

901 Sir Francis Drake Blvd Ste B
Kentfield, CA 94904-1502

Mailing address

901 Sir Francis Drake Blvd Ste B
Kentfield, CA 94904-1502
Phone (415) 237-4448

National Provider Directory

National Provider Directory

Locations

901 Sir Francis Drake Blvd
Ste B
Kentfield, CA 94904
Phone (415) 237-4448

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": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1891325403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD STE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-237-4448",
            "fax_number": "415-805-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SIR FRANCIS DRAKE BLVD STE B",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041502",
            "telephone_number": "415-237-4448",
            "fax_number": "415-805-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS VALLEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "MALACHOWSKI",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DERBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-237-4448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.