JEANNINE MARIE KNICKERBOCKER DPT
NPI 1962561969
Physical Therapist in Waterloo, IA

Active since December 06, 2006
1731 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 833-5900(319) 833-5901 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeannine Marie Knickerbocker Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNINE MARIE KNICKERBOCKER DPT (NPI 1962561969) is an individual physical therapist in Waterloo, Iowa, licensed in Iowa (03966) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1962561969
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJEANNINE MARIE KNICKERBOCKERCredential: DPT
Location Address1731 W RIDGEWAY AVEWaterloo, IA 50701-4594
Mailing AddressPo Box 2758Waterloo, IA 50704-2758 · (319) 235-5390 · Fax (319) 287-9249
Fax(319) 833-5901
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateDecember 7, 2007
NPI 1962561969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in IA · 03966
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1731 W RIDGEWAY AVE, Waterloo, IA 50701

Other Identifiers 3

Other29208Wellmark
Medicaid0744060IA
Medicare PINI18945IA

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1731 W RIDGEWAY AVE, ANTICOAGULATION CLINIC
WATERLOO, IA 50701
Nurse Practitioner (Family)
1731 W RIDGEWAY AVE, SUITE 100
WATERLOO, IA 50701
Pharmacist
1731 W RIDGEWAY AVE
WATERLOO, IA 50701
Pharmacy (Community/Retail Pharmacy)
1731 W RIDGEWAY AVE
WATERLOO, IA 50701
Physical Therapist
1731 W RIDGEWAY AVE
WATERLOO, IA 50701
Physical Therapist
1731 W RIDGEWAY AVE
WATERLOO, IA 50701
Radiology (Diagnostic Radiology)
1731 W RIDGEWAY AVE, STE 101
WATERLOO, IA 50701
Specialist/Technologist (Athletic Trainer)
1731 W RIDGEWAY AVE, STE 600
WATERLOO, IA 50701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannine Knickerbocker's NPI number?

The NPI number for Jeannine Knickerbocker is 1962561969. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Jeannine Knickerbocker located?

Jeannine Knickerbocker practices at 1731 W Ridgeway Ave, Waterloo, IA 50701. The listed phone number is (319) 833-5900.

What is Jeannine Knickerbocker's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Jeannine Knickerbocker was last updated on December 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.