Individual provider Active NPI

Rachael Knoblauch, PT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1427416221
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43595 Issued in CA
Practice address
21501 Brookhurst St
Suite E
Huntington Beach, CA 92646-8080
Phone
(714) 963-3632
Fax
(714) 965-0682
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 PT43595 CA Primary

Addresses

Primary practice location

21501 Brookhurst St
Suite E
Huntington Beach, CA 92646-8080

Mailing address

21551 Brookhurst St
Apt. 33
Huntington Beach, CA 92646-8007

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43595CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1427416221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21551 BROOKHURST ST",
            "address_2": "APT. 33",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 BROOKHURST ST",
            "address_2": "SUITE E",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926468080",
            "telephone_number": "714-963-3632",
            "fax_number": "714-965-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBLAUCH",
        "first_name": "RACHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.