Individual provider Active NPI

Joan Kathleen Denzler, P.T.

  • Physical Therapist
  • San Leandro, CA
National Provider Identifier
1891859807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10626 Issued in CA
Practice address
Alameda County Medical Center - Fairmont Campus
15400 Foothill Blvd
San Leandro, CA 94578-1009
Phone
(510) 895-4513
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 10626 CA Primary

Addresses

Primary practice location

Alameda County Medical Center - Fairmont Campus
15400 Foothill Blvd
San Leandro, CA 94578-1009

Mailing address

34008 Webfoot Loop
Fremont, CA 94555-2975
Phone (510) 713-1101

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

LicenseStateTypeSpecialty
10626CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891859807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34008 WEBFOOT LOOP",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552975",
            "telephone_number": "510-713-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALAMEDA COUNTY MEDICAL CENTER - FAIRMONT CAMPUS",
            "address_2": "15400 FOOTHILL BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781009",
            "telephone_number": "510-895-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENZLER",
        "first_name": "JOAN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "10626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.