Bay Mobile Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

BAY MOBILE PHYSICAL THERAPY

Practice address

310 Channing Way Apt 312
San Rafael, CA 94903-2630

Phone

(949) 212-8749

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Colin Kendall McDannel, PT, DPTNPI 1639200454

Title

Owner

Phone

(949) 212-8749

Specialties & licenses 1

Addresses

Practitioners 1

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

• Colin McDannel

  • Physical Therapist
  • Castro Valley, CA
  • NPI 1639200454
  NPD Authorized official

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1962050658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CHANNING WAY APT 312",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032630",
            "telephone_number": "949-212-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CHANNING WAY APT 312",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032630",
            "telephone_number": "949-212-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY MOBILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "MCDANNEL",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "KENDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-212-8749",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.