Individual provider Active NPI

Nicholas Kniefel, DPT

  • Physical Therapist
  • Saratoga, CA
National Provider Identifier
1881149508
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT291913 Issued in CA
Practice address
18780 Cox Ave
Saratoga, CA 95070-4109
Phone
(408) 973-7700
Fax
(408) 973-1600
NPI assigned
Aug 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT291913 CA Primary

Addresses

Primary practice location

18780 Cox Ave
Saratoga, CA 95070-4109

Mailing address

18780 Cox Ave
Saratoga, CA 95070-4109
Phone (408) 973-7700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT291913CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Naeem a. Rana, M.D. a Professional Corporation PastSince Aug 23, 2016 Accepting new patients

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": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1881149508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18780 COX AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704109",
            "telephone_number": "408-973-7700",
            "fax_number": "408-973-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18780 COX AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704109",
            "telephone_number": "408-973-7700",
            "fax_number": "408-973-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIEFEL",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.