Robert Blade Pietila
NPI 1679408314ActiveIndividual· Physical Therapist· San Anselmo, CA
Physical Therapist with Sport and Spine Therapy of Marin Inc, practicing in San Anselmo, California. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1679408314 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 15, 2026 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 310357 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Sport and Spine Therapy of Marin IncSan Anselmo, CA · 11 clinicians
Other physical therapists in San Anselmo
- 1316532567
- 1063375780
- 1275240848
- 1295642882
- 1588617252
- 1760605257
- 1770839839
- 1659023109
- 1255475687
- 1700598869
- 1154456804
- 1528504396