Individual provider Active NPI

William Quibell

  • Physical Therapist
  • Pinole, CA
National Provider Identifier
1063742617
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
36138 Issued in CA
Practice address
2160 Appian Way Ste 101
Pinole, CA 94564-2524
Phone
(510) 724-1248
NPI assigned
Jan 4, 2010
Last updated
Jan 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 36138 CA Primary

Addresses

Primary practice location

2160 Appian Way Ste 101
Pinole, CA 94564-2524

Mailing address

2160 Appian Way Ste 101
Pinole, CA 94564-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318001019 CA Practitioner - Physical Therapist in Private Practice 4688971625 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Beach Pacific Physical Therapy IncGroup PAC ID 4587619457, 11 clinicians
Davis and Derosa Physical Therapy IncGroup PAC ID 7113954264, 21 clinicians

Practice addresses (Care Compare)

325 Main St
El Segundo, CA 90245-3814

327 Main St
El Segundo, CA 90245-3814
Phone (310) 725-8505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Barman & Sargent Inc CurrentSince Oct 29, 2024 Accepting new patients
Barman & Sargent Inc Physical Therapist CurrentSince Oct 29, 2024 Accepting new patients
Manhattan Beach Pacific Physical Therapy Inc Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Davis and Derosa Physical Therapy, Inc Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients

Locations

315 Diablo Rd
Ste 110
Danville, CA 94526
Phone (925) 855-8343

325 Main St
El Segundo, CA 90245
Phone (310) 648-3167

327 Main St
El Segundo, CA 90245
Phone (310) 322-9700

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1063742617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 APPIAN WAY STE 101",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 APPIAN WAY STE 101",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642524",
            "telephone_number": "510-724-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIBELL",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.