Active NPI
Heather Fenimore, DPT
- Physical Therapist
- San Ramon, CA
National Provider Identifier
1740683739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40057
- Practice address
- 1226 Canyon Village Cir
San Ramon, CA 94583-1861 - Phone
- (512) 698-6478
- NPI assigned
- Oct 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40057 | CA | Primary |
| Physical Therapist | 225100000X | 1208226 | TX |
Addresses
Primary practice location
1226 Canyon Village Cir
San Ramon, CA 94583-1861
Mailing address
1226 Canyon Village Cir
San Ramon, CA 94583-1861
Phone (512) 698-6478
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40057 | CA | MD | Pharmacist |
| 1208226 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1740683739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 CANYON VILLAGE CIR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831861",
"telephone_number": "512-698-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 CANYON VILLAGE CIR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831861",
"telephone_number": "512-698-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENIMORE",
"first_name": "HEATHER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-03",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "40057",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1208226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.