Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Wade Knedel, PT

Individual provider Physical Therapist · NPI 1538405881

Jeremy Wade Knedel, PT is a Physical Therapist in Private Practice in Shasta Lake, California. Qualified in 2012, 14 years ago. Practices with Anderson Physical Therapy Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5061 Shasta Dam Blvd
Shasta Lake, CA 96019-9405
Phone: (530) 275-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT39675 (CA)

Record details

NPI number1538405881
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 13, 2012
Last updated in NPPESDecember 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Anderson Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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