Healthcare Provider Details

I. General information

NPI: 1962373753
Provider Name (Legal Business Name): NADINE ANTEBI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 STANYAN ST
SAN FRANCISCO CA
94117-1019
US

IV. Provider business mailing address

208 SAUSALITO ST
CORTE MADERA CA
94925-1619
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-1000
  • Fax: 415-750-4930
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number30239
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: