Healthcare Provider Details

I. General information

NPI: 1407008261
Provider Name (Legal Business Name): READY SET GO THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2008
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 HARBOR DR SUITE 112
SAUSALITO CA
94965
US

IV. Provider business mailing address

180 HARBOR DR SUITE 112
SAUSALITO CA
94965
US

V. Phone/Fax

Practice location:
  • Phone: 415-339-8800
  • Fax: 415-963-4243
Mailing address:
  • Phone: 415-339-8800
  • Fax: 415-963-4243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMIE CLOSE
Title or Position: EXECUTIVE DIRECTOR, CO-OWNER
Credential: MSOT, OTR/L
Phone: 415-339-8800