Individual provider Active NPI

Michael Knox, PT

  • Orthopedic Physical Therapist
  • Ocean, NJ
National Provider Identifier
1003962382
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
40QA00760600 Issued in NJ
Practice address
3200 Sunset Ave
Suite 205
Ocean, NJ 07712-4567
Phone
(732) 502-8850
Fax
(732) 502-3199
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 40QA00760600 NJ Primary

Addresses

Primary practice location

3200 Sunset Ave
Suite 205
Ocean, NJ 07712-4567

Mailing address

3200 Sunset Ave
Suite 205
Ocean, NJ 07712-4567
Phone (732) 502-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000785 NJ Practitioner - Physical Therapist in Private Practice 3173580446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3200 Sunset Ave
Suite 106
Ocean, NJ 07712-4556
Phone (732) 502-8850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocare Physical Therapy Orthopedic CurrentSince Sep 27, 2002 Accepting new patients
Clark Rehab Services LLC Past Accepting new patients
Burgess L. Berlin, M.D., P.a. PastSince Apr 3, 2001 Accepting new patients

Locations

3200 Sunset Ave
Ste 205
Ocean, NJ 07712
Phone (732) 502-8850

3200 Sunset Ave
Ste 106
Ocean, NJ 07712
Phone (732) 502-8850

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1003962382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE",
            "address_2": "SUITE 205",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124567",
            "telephone_number": "732-502-8850",
            "fax_number": "732-502-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SUNSET AVE",
            "address_2": "SUITE 205",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124567",
            "telephone_number": "732-502-8850",
            "fax_number": "732-502-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00760600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.