Active NPI
Maria Kieu
- Neurology Physical Therapist
- San Rafael, CA
National Provider Identifier
1215329065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 42118
- Practice address
- 155 Andersen Dr
Apt 1313
San Rafael, CA 94901-3993 - Phone
- (408) 674-8920
- NPI assigned
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 42118 | CA | Primary |
Addresses
Primary practice location
155 Andersen Dr
Apt 1313
San Rafael, CA 94901-3993
Mailing address
155 Andersen Dr
Apt 1313
San Rafael, CA 94901-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1215329065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 ANDERSEN DR",
"address_2": "APT 1313",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 ANDERSEN DR",
"address_2": "APT 1313",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013993",
"telephone_number": "408-674-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEU",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "42118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.