Nicholas Raines Keitzer, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

165 Rowland Way
Suite 101
Novato, CA 94945-5038

Phone

(415) 898-1311

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Novato Back Care and Sports Physical Therapy

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1093945230
  NPD (past)
• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • San Anselmo, CA
  • NPI 1154388577
  NPD (past)
• Sport & Spine Therapy of Marin Inc

  • Orthopedic Physical Therapist
  • Novato, CA
  • NPI 1174578199
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1669407433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WOMACK CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472029",
            "telephone_number": "808-780-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROWLAND WAY",
            "address_2": "SUITE 101",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455038",
            "telephone_number": "415-898-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITZER",
        "first_name": "NICHOLAS",
        "middle_name": "RAINES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Rosa Kaufman, MFT
• Joan Westphal Kaul, SPEECH PATHOLOGIST,
• Shaninder Kaur, M.D.
• Laura Hamilton Deane Kawamoto
• Caley Keene
• Carla Kaye Keller
• Holly C Kelly, MD
• Charlene Kohl Kelzer, MA
• Kenneth John Kelzer, MSW LCSW
• Leslie Kennedy, MFT TRAINEE

• Orthopedic Physical Therapist in Novato, CA
• Providers in Novato, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.