Richard John Waldron, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT15104 Issued in CA

Practice address

1099 D Street Suite 105
San Rafael, CA 94901-2839

Phone

(415) 532-8395

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rich Waldron Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Joint Academy Physical Therapy of KS PA

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1255060422

  Physical Therapist

  NPD Authorized official
• Arthro Therapeutics Inc

  • Case Management Agency
  • Mill Valley, CA
  • NPI 1992693402
  NPD
• Marin Sport and Spine Physical Therapy

  • Orthopedic Physical Therapist
  • Kentfield, CA
  • NPI 1487800942

  Physical Therapist

  NPD (past)
• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • San Anselmo, CA
  • NPI 1154388577

  Physical Therapist

  NPD (past)
• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1174578199

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1962486464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 ETHEL AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412731",
            "telephone_number": "415-302-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 D STREET SUITE 105",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012839",
            "telephone_number": "415-532-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "RICHARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15104",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT15104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICH",
            "last_name": "WALDRON",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Neellab Gina Wahdat
• Laura Wahpepah, NP
• Amanda Michelle Waite, RPH
• Edie Walden, PH.D.
• Jonathan Waldron, PHD
• Walgreen Co
• Walgreen Co
• Catherine Walker
• Janelle Marie Walker
• Edward K Wall, DDS

• All providers in San Rafael, CA
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.