Organization Active NPI

Mitchell Kauk

Doing business as Petaluma Orthopaedic & Sports Therapy (P.O.S.T.)

  • Orthopedic Physical Therapist
  • Petaluma, CA
National Provider Identifier
1972667947
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT10959 Issued in CA
Legal business name
MITCHELL KAUK
Doing business as
Petaluma Orthopaedic & Sports Therapy (P.O.S.T.)
Practice address
224A Weller St
Petaluma, CA 94952-3136
Phone
(707) 762-7678
Fax
(707) 762-7679
NPI assigned
Dec 21, 2006
Last updated
May 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Authorized official

Name
Mr. Mitchell Kauk, PT OCSNPI 1548345390
Title
Owner Director
Phone
(707) 762-7678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT10959 CA Primary

Addresses

Primary practice location

224A Weller St
Petaluma, CA 94952-3136

Mailing address

224A Weller St
Petaluma, CA 94952-3136
Phone (707) 762-7678

Other names 1

  • Petaluma Orthopaedic & Sports Therapy (P.O.S.T.) Doing business as

National Provider Directory

National Provider Directory

Locations

1476 Professional Dr
Ste 503
Petaluma, CA 94954
Phone (707) 206-1321

224 Weller St
Ste A
Petaluma, CA 94952
Phone (707) 762-7678

226 Weller St
Petaluma, CA 94952
Phone (707) 762-7678

244A Weller St
Petaluma, CA 94952

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1972667947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224A WELLER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523136",
            "telephone_number": "707-762-7678",
            "fax_number": "707-762-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224A WELLER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523136",
            "telephone_number": "707-762-7678",
            "fax_number": "707-762-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL KAUK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "KAUK",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "707-762-7678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petaluma Orthopaedic & Sports Therapy (P.O.S.T.)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.