The Knee Joint Inc

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT15104 Issued in CA

Legal business name

THE KNEE JOINT INC

Practice address

23 Reed Blvd
Mill Valley, CA 94941-2301

Phone

(415) 302-0456

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Richard Waldron, PT

Title

President

Phone

(415) 302-0456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1346512506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 ETHEL AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412731",
            "telephone_number": "415-302-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 REED BLVD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412301",
            "telephone_number": "415-302-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNEE JOINT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-302-0456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT15104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Physical Therapist in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.