NPIMap

Organization Active NPI

Knotts Speech Therapy Services

  • Speech-Language Pathologist
  • Moss Point, MS
National Provider Identifier
1073960209
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S1068 Issued in MS
Legal business name
KNOTTS SPEECH THERAPY SERVICES
Practice address
5210 Huckleberry LN
Moss Point, MS 39562-2203
Phone
(228) 623-8734
Fax
(228) 460-5120
NPI assigned
May 18, 2016
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Luci Knotts, CCC-SLPNPI 1316379811
Title
Speech Language Pathologist
Phone
(228) 623-8734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Speech-Language Pathologist 235Z00000X S1068 MS Primary

Addresses

Primary practice location

5210 Huckleberry LN
Moss Point, MS 39562-2203

Mailing address

5210 Huckleberry LN
Moss Point, MS 39562-2203
Phone (228) 623-8734

Other identifiers 1

IdentifierTypeStateIssuer
00119278MedicaidMS

National Provider Directory

National Provider Directory

Locations

744 Winter St
Lucedale, MS 39452
Phone (228) 400-9992

7055 Highway 614
Ste E
Moss Point, MS 39562
Phone (228) 400-9992

7302 Highway 613
Ste D
Moss Point, MS 39563
Phone (228) 475-6437

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1073960209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 HUCKLEBERRY LN",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395622203",
            "telephone_number": "228-623-8734",
            "fax_number": "228-460-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 HUCKLEBERRY LN",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395622203",
            "telephone_number": "228-623-8734",
            "fax_number": "228-460-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOTTS SPEECH THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "KNOTTS",
        "authorized_official_first_name": "LUCI",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "228-623-8734",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S1068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.