Provider Profile

Misty R. Black, PTA

Unclaimed Profile

About Misty Black

Misty R. Black, PTA is a healthcare provider located in Sebastopol, CA. Misty is also listed as specializing in physical therapist.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Specialty

Physical Therapist (Additional)

Credentials & Licensing

CA licenseAT6901
NPI1043386220
NPI issued11/28/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Misty R. Black's address?

Misty R. Black is listed at 100 Pleasant Hill Ave N, Sebastopol, CA 95472. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Misty R. Black?

The number on file is (707) 829-3282. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Misty R. Black's NPI number?

Misty R. Black's National Provider Identifier is 1043386220. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Misty R. Black been practicing?

Misty R. Black has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Misty R. Black confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Misty R. Black. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.