Misty Black, PTA
NPI 1043386220 · Physical Therapy Assistant · Sebastopol, CA
Misty Black, PTA is a Physical Therapy Assistant provider in Sebastopol, CA (NPI 1043386220).
Provider details
- NPI number
- 1043386220
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- AT6901 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Frequently asked questions
- What is Misty Black's NPI number?
- Misty Black's National Provider Identifier (NPI) is 1043386220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Misty Black's specialty?
- Misty Black is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Misty Black located?
- Misty Black's practice location on file with NPPES is 100 Pleasant Hill Ave N, Sebastopol, CA 95472-3104.
- What is Misty Black's phone number?
- The practice phone number listed in the NPPES registry for Misty Black is (707) 829-3282.
- Is Misty Black's NPI active?
- Yes — Misty Black's NPI (1043386220) is active in the NPPES registry as of the last update on 2022-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.