Sport & Spine Therapy of Marin Inc
NPI 1174578199 · Orthopedic Physical Therapist · Novato, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sport & Spine Therapy of Marin Inc is a Orthopedic Physical Therapist organization in Novato, CA (NPI 1174578199).
Provider details
- NPI number
- 1174578199
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Bobby Ismail, President(209) 353-1988
Specialties & taxonomies
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
20 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
- 2006-05-24
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Sport & Spine Therapy of Marin Inc's NPI number?
- Sport & Spine Therapy of Marin Inc's National Provider Identifier (NPI) is 1174578199, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sport & Spine Therapy of Marin Inc?
- Sport & Spine Therapy of Marin Inc is classified in the NPPES registry as Orthopedic Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sport & Spine Therapy of Marin Inc located?
- Sport & Spine Therapy of Marin Inc's practice location on file with NPPES is 88 Rowland Way, Novato, CA 94945-5042.
- What is Sport & Spine Therapy of Marin Inc's phone number?
- The practice phone number listed in the NPPES registry for Sport & Spine Therapy of Marin Inc is (415) 898-1311.
- Does Sport & Spine Therapy of Marin Inc accept Medicare?
- Sport & Spine Therapy of Marin Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sport & Spine Therapy of Marin Inc?
- The authorized official listed on Sport & Spine Therapy of Marin Inc's NPPES record is Bobby Ismail, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sport & Spine Therapy of Marin Inc's NPI active?
- Yes — Sport & Spine Therapy of Marin Inc's NPI (1174578199) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.