Mica Peacock, DPT
Physical Therapist · San Rafael, CA
Mica Peacock, DPT is a physical therapist with a practice address in San Rafael, California, and NPI 1538831979, issued on Oct 4, 2021. Check the license (California PT300982, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mica Peacock
- Credential
- DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- PT300982 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1099 D St Ste 105, San Rafael, CA 94901
- Phone
- (415) 532-8335
- Enumerated
- Oct 4, 2021
- Record last updated
- Oct 1, 2022
- Medicare enrollment
- Enrolled (PECOS I20211215001365); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 22,531 in California → Look up another NPI →
Also registered at 1099 D St Ste 105
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tyler BacarroPhysical Therapist1922694660
- David Bambilla, DPTPhysical Therapist1871372789
- Gabrielle Hofilena, DPTPhysical Therapist1639910672
- Kelley Park, DPTPhysical Therapist1750693115
- Kate Rappa, PTAPhysical Therapy Assistant1336528645
Verify Mica Peacock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PT300982Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Stac Physical Therapy Emeryville IncEmeryville, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mica Peacock among 22,531 physical therapist records in California
Mica Peacock, DPT is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 73% of them.
- NPI issued2021 · 73% of these records are older, 22% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2021 · median 2017 among the 7,751 with a school on file
- Record last updated2022 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
76 physical therapist records list a practice address in San Rafael
They are 76 of the 3,159 NPPES records with a practice address in San Rafael, and 22,531 physical therapist records in California.
All 22,531 in California → Every provider in San Rafael → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Tyler BacarroSan Rafael, CA 949011922694660
- Joan Collins, DPTSan Rafael, CA 949011497040612
- Benjamin Costa, PTSan Rafael, CA 949011730586769
- Brianna HitmanSan Rafael, CA 949011841682895
- Scott Hubert, PTSan Rafael, CA 949011588172878
- Kwun Leung, PTSan Rafael, CA 949011699937086
- Kaylin Mordock, P.T.San Rafael, CA 949011386626505
- Caryn Papiro, PTSan Rafael, CA 949011669805008
Common questions
What is Mica Peacock, DPT's NPI number?
Mica Peacock, DPT's National Provider Identifier (NPI) is 1538831979, issued on Oct 4, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Mica Peacock, DPT located?
The NPPES record lists a practice address at 1099 D St Ste 105, San Rafael, CA, 94901. Phone: (415) 532-8335. Providers update this record themselves, so call before visiting.
How can I verify Mica Peacock, DPT's license?
NPPES lists California license number PT300982, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.