Naomi Kimball Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

38112 Issued in CA

Legal business name

NAOMI KIMBALL PHYSICAL THERAPY

Practice address

2425 Cleveland Ave
Suite 135
Santa Rosa, CA 95403-2990

Phone

(707) 483-3244

Fax

(707) 536-9490

NPI assigned

Apr 20, 2015

Organization subpart

No

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

Authorized official

Name

Naomi Kimball, PT

Title

PT/ Owner

Phone

(707) 483-3244

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1174910962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CLEVELAND AVE",
            "address_2": "SUITE 135",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032990",
            "telephone_number": "707-483-3244",
            "fax_number": "707-536-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CLEVELAND AVE",
            "address_2": "SUITE 135",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032990",
            "telephone_number": "707-483-3244",
            "fax_number": "707-536-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI KIMBALL PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "PT/ OWNER",
        "authorized_official_telephone_number": "707-483-3244",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "38112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuichiro David Nakai, M.D.
• Amanda Lynne Nalywaiko
• Hind Zaid Namiq
• Christina Nampudakam
• Dylan Nand, PHARMD
• Yizza Narvaez, M.D.
• Jalicia Lynea Nasibebo
• Hachem Nasri, M.D.
• Judy Nassimbene
• Natalie Goldstone DDS Dental Corporation

• Physical Therapy Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.