Dragon Physical Therapy PC
Clinic/Center, Physical Therapy in Tiburon, CA. Organization (NPI-2).
NPI number1053945337
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1053945337
- Entity type
- Organization (NPI-2)
- Legal business name
- Dragon Physical Therapy PC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2020
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
24 Marsh RdTiburon, CA 94920-2541
Phone 646-821-3390
Mailing address
24 Marsh RdTiburon, CA 94920-2541
Phone 646-821-3390
Authorized official
Ashley J Mak
Owner/Ceo
6468213390
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