Active NPI
Marie Louise Quimson, P.T.
- Physical Therapist
- Hayward, CA
National Provider Identifier
1447326996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28653
- Practice address
- 771 Jackson St
Suite B
Hayward, CA 94544-1032 - Phone
- (510) 888-9300
- Fax
- (510) 280-8802
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28653 | CA | Primary |
Addresses
Primary practice location
771 Jackson St
Suite B
Hayward, CA 94544-1032
Mailing address
PO Box 1619
Union City, CA 94587-6619
Phone (510) 888-9300
Other names 1
- Trixie Quimson
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28653 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Bay Healthcare | Current | Accepting new patients | |
| Rehabrewards, Inc | Physical Therapist | Current | Accepting new patients |
Locations
771 Jackson St
Ste B
Hayward, CA 94544
Phone (510) 888-9300
4400 Keller Ave
Ste 250
Oakland, CA 94605
Phone (510) 475-1739
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Hayward, CA
- NPI 1225103054
-
- Home Health Agency
- Antioch, CA
- NPI 1629731005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209081600000",
"number": "1447326996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1619",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945876619",
"telephone_number": "510-888-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 JACKSON ST",
"address_2": "SUITE B",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441032",
"telephone_number": "510-888-9300",
"fax_number": "510-280-8802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIMSON",
"first_name": "MARIE",
"middle_name": "LOUISE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2008-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRIXIE",
"last_name": "QUIMSON",
"credential": "P.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.