Rustem Ixanov, MS,PT
NPI 1982771481 · Physical Therapist · Santa Rosa, CA
Rustem Ixanov, MS,PT is a Physical Therapist provider in Santa Rosa, CA (NPI 1982771481).
Provider details
- NPI number
- 1982771481
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS,PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT 32358 (CA)
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
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
- 2006-11-29
- Last updated
- 2021-11-16
- Certified
- 2021-11-16
Frequently asked questions
- What is Rustem Ixanov's NPI number?
- Rustem Ixanov's National Provider Identifier (NPI) is 1982771481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rustem Ixanov's specialty?
- Rustem Ixanov is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Rustem Ixanov located?
- Rustem Ixanov's practice location on file with NPPES is 3550 Round Barn Blvd # 112, Santa Rosa, CA 95403-1796.
- What is Rustem Ixanov's phone number?
- The practice phone number listed in the NPPES registry for Rustem Ixanov is (707) 566-5488.
- Is Rustem Ixanov's NPI active?
- Yes — Rustem Ixanov's NPI (1982771481) is active in the NPPES registry as of the last update on 2021-11-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.