NPIMap

Organization Active NPI

Marion Kregeloh

  • Physical Therapy Clinic/Center
  • San Rafael, CA
National Provider Identifier
1629112677
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
155750 Issued in CA
Legal business name
MARION KREGELOH
Practice address
1050 Northgate Drive
Suite 230
San Rafael, CA 94903
Phone
(415) 479-1765
Fax
(415) 479-1755
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Ms. Marion Kregeloh, PT
Title
Owner
Phone
(415) 479-1765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 155750 CA Primary

Addresses

Primary practice location

1050 Northgate Drive
Suite 230
San Rafael, CA 94903

Mailing address

1050 Northgate Drive
Suite 230
San Rafael, CA 94903
Phone (415) 479-1765

Other names 1

  • Marin Movement Center Doing business as

National Provider Directory

National Provider Directory

Locations

1 Larkspur Plaza Dr
Larkspur, CA 94939
Phone (415) 461-7528

1050 Northgate Dr
Ste 230
San Rafael, CA 94903
Phone (415) 479-1765

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1629112677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DRIVE",
            "address_2": "SUITE 230",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-479-1765",
            "fax_number": "415-479-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 NORTHGATE DRIVE",
            "address_2": "SUITE 230",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-479-1765",
            "fax_number": "415-479-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION KREGELOH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "KREGELOH",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-479-1765",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "155750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marin Movement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.