Individual provider Active NPI

Marie Louise Quimson, P.T.

  • Physical Therapist
  • Hayward, CA
National Provider Identifier
1447326996
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28653 Issued in CA
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

Updated by the provider on Apr 25, 2008

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 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 Other name

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
28653CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Bay Healthcare Current Accepting new patients
Rehabrewards, Inc Physical Therapist CurrentSince Dec 1, 2006 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.

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.

Verify at the official NPI Registry.