Naomi Knaak Kimball, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6427 Issued in MN

Practice address

2425 Cleveland Ave
Suite 135
Santa Rosa, CA 95403-2990

Phone

(707) 483-3244

Fax

(707) 536-9490

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

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.

• Satori Integrative Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Minneapolis, MN
  • NPI 1902054828
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1902013634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 CLEVELAND AVE",
            "address_2": "SUITE 135",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032990",
            "telephone_number": "707-483-3244",
            "fax_number": "707-536-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CLEVELAND AVE",
            "address_2": "SUITE 135",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032990",
            "telephone_number": "707-483-3244",
            "fax_number": "707-536-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "NAOMI",
        "middle_name": "KNAAK",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meena Shim Kim
• Nancy Kim, PHARM. D.
• Sea Jin Kim, M.D.
• Steven Park Kim, D.P.M.
• Susan Wanjiku Kimani, RN
• Amalia Kimber, C.N.M., RN
• Kimberly Quan Hubenette,DDS, Inc
• Samuel Lewis Kimbles, PL.D. PSYCHOLOGY
• Sean Kincaid
• King Hearing Aid Centers Inc

• Physical Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.