Jacqueline Retzer, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

35397 Issued in CA

Practice address

1260 B St
Suite 250
Hayward, CA 94541-2955

Phone

(510) 247-9971

Fax

(510) 247-9974

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Poggi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1285954362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 B ST",
            "address_2": "SUITE 250",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412955",
            "telephone_number": "510-247-9971",
            "fax_number": "510-247-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 B ST",
            "address_2": "SUITE 250",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412955",
            "telephone_number": "510-247-9971",
            "fax_number": "510-247-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZER",
        "first_name": "JACQUELINE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "35397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "POGGI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Resilience Chiropractic Luong
• Restorative Community Solutions
• Mylene Meilany Co Resurreccion, FNP-C
• Albert Vincent Retodo, M.D.
• Edrose Perez Retodo, N.P.
• Reveal Diagnostics, LLC
• Ana Reyes, LCSW
• Barbara L. Reyes
• Dayra Reyes
• Diana Reyes, BA, DDS

• Physical Therapist in Hayward, CA
• Providers in Hayward, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.