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Sport & Spine Therapy of Marin Inc

Orthopedic Physical Therapist in Novato, CA · enumerated 2006 · authorized official Bobby Ismail, President.

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

National Provider Identifier

1174578199

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Registry record

Entity type Organization (Type 2)
Legal business name Sport & Spine Therapy of Marin Inc
Practice address 88 Rowland Way, Suite 250, Novato, CA, 94945
Phone (415) 898-1311
Fax (415) 897-0741
Enumeration date May 24, 2006
Last updated in NPPES Dec 6, 2023

Taxonomy & classification

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Bobby Ismail
Title President
Phone (209) 353-1988

Other identifiers

Identifier Type State Issuer
BK 875 Other CA MEDICARE PTAN

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.

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Frequently asked questions

What type of organization is Sport & Spine Therapy of Marin Inc?
Sport & Spine Therapy of Marin Inc is registered in NPPES as a Orthopedic Physical Therapist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-06.