Robert Michael Negrete, PT, DPT
Individual provider Active NPI Physical Therapist · Plymouth, CA
NPI 1912472002 · NPPES record last updated Feb 21, 2020
Key facts
- NPI
- 1912472002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 295440 (CA)
- Practice address
- 4001 Ca-104
Specialty Clinic - Physical Therapy
Plymouth, CA 95669 - Phone
- (209) 274-4911
- NPI assigned
- Oct 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295440 | CA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 295440 | CA | Yes |
Addresses
Primary practice location
4001 Ca-104
Specialty Clinic - Physical Therapy
Plymouth, CA 95669
Mailing address
4001 Ca-104
Specialty Clinic - Physical Therapy
Plymouth, CA 95669
Phone (209) 274-4911
Other providers in Plymouth, CA
- Ahmad Jawad Hamood
- Sheri Lynn Lawrence
- Arely Yanira Macias
- Connie McKenna
- Aleila Monge
- Pokerville Drug
- Christina Lobue Sonnenberg
- Patricia Sullivan
- Sutter Health Sacramento Sierra Region
- Sutter Valley Medical Foundation
All providers in Plymouth, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.