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Jeannine Marie Knickerbocker, DPT

Physical Therapist in Waterloo, IA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962561969

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Registry record

Entity type Individual (Type 1)
Name Jeannine Marie Knickerbocker
Credential DPT
Sex Female
Practice address 1731 W Ridgeway Ave, Waterloo, IA, 50701
Fax (319) 833-5901
Enumeration date Dec 6, 2006
Last updated in NPPES Dec 7, 2007

Taxonomy & licenses

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 03966 (IA) Primary
DPT · Doctor of Physical Therapy: A physical therapist holding the clinical doctorate now standard for the profession. About the DPT credential

Other identifiers

Identifier Type State Issuer
0744060 Medicaid IA -
29208 Other - WELLMARK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jeannine Knickerbocker practice?
The practice location on file with NPPES is in Waterloo, IA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jeannine Knickerbocker?
The National Provider Identifier (NPI) for Jeannine Knickerbocker is 1962561969, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-07.