Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Misty Renae Black, PTA

Physical Therapy Assistant in Sebastopol, CA · enumerated 2006 · practices at Sebastopol Physical Therapy and Pilates Studio.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043386220

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Registry record

Entity type Individual (Type 1)

Name Misty Renae Black

Credential PTA

Sex Female

Practice address 100 Pleasant Hill Ave N, Sebastopol, CA, 95472

Phone (707) 829-3282

Fax (707) 829-3287

Enumeration date Nov 28, 2006

Last updated in NPPES Mar 1, 2022

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT6901 (CA) Primary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT6901 (CA) Secondary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Misty Black's NPI record?

Cross-check NPI 1043386220 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1043386220 active?

Yes, as of the latest NPPES snapshot, NPI 1043386220 is active (record last updated 2022-03-01).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-03-01.