Individual provider Active NPI

Marci Claire Kneeter, PT

  • Orthopedic Physical Therapist
  • Fremont, CA
National Provider Identifier
1518000652
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT20623 Issued in CA
Practice address
39180 Farwell Dr Ste 211
Fremont, CA 94538
Phone
(105) 857-1000
Fax
(510) 474-1798
NPI assigned
Feb 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT20623 CA Primary

Addresses

Primary practice location

39180 Farwell Dr Ste 211
Fremont, CA 94538

Mailing address

39180 Farwell Dr Ste 211
Fremont, CA 94538-1015
Phone (510) 857-1000

Other names 1

  • Marci Claire Jeffries Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051031000681 CA Practitioner - Physical Therapist in Private Practice 8820015662 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20623CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wecare Rehab Services Inc Orthopedic CurrentSince Jun 1, 2014 Accepting new patients

Locations

1895 Mowry Ave
Ste 118A
Fremont, CA 94538
Phone (510) 760-0383

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

Organizations & group practices 1

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1518000652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 211",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381015",
            "telephone_number": "510-857-1000",
            "fax_number": "510-474-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39180 FARWELL DR STE 211",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "105-857-1000",
            "fax_number": "510-474-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEETER",
        "first_name": "MARCI",
        "middle_name": "CLAIRE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT20623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "JEFFRIES",
            "middle_name": "CLAIRE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.