Lois Kim Hargreaves, P.T.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT15341 Issued in CA

Practice address

591 Redwood Highway
Suite 2235
Mill Valley, CA 94941-6001

Phone

(415) 381-9030

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kim Hargreaves Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ez Rehab Physical Therapy Inc.

  • Physical Therapist
  • Mill Valley, CA
  • NPI 1790979151

  Neurology

  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1598034399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 PACIFIC AVE",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442624",
            "telephone_number": "415-823-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HIGHWAY",
            "address_2": "SUITE 2235",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949416001",
            "telephone_number": "415-381-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGREAVES",
        "first_name": "LOIS",
        "middle_name": "KIM",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT15341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "HARGREAVES",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Hammerle, PH.D., MFT
• Ashraf Hanafy, LMT
• Thomas R. Hansen, M.D.
• Anne Happel, MA
• Leslie Kathleen Hara, LPCC
• Alexa Harris
• Lloyd Roderick Harris, DDS
• Tanya Ute Harris, DDS
• Imee Harsuvanakit, DPT
• Kyle Hartman, L.AC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.