Organization Active NPI

Knight Medical & Rehab Center, LTD.

Doing business as The Knight Center for Integrated Health

  • Internal Medicine Physician
  • Peoria, IL
National Provider Identifier
1083738280
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KNIGHT MEDICAL & REHAB CENTER, LTD.
Doing business as
The Knight Center for Integrated Health
Practice address
4300 N Brandywine Dr
Peoria, IL 61614-5550
Phone
(309) 692-0123
Fax
(309) 692-0184
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Dr. Rebecca Knight, M.D.NPI 1437261047
Title
President
Phone
(309) 692-0123

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038.011932 IL
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 070-017539 IL
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Primary Care Clinic/Center 261QP2300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

4300 N Brandywine Dr
Peoria, IL 61614-5550

Mailing address

4300 N Brandywine Dr
Peoria, IL 61614-5550
Phone (309) 692-0123

Other names 1

  • The Knight Center for Integrated Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041208000790 IL Part B Supplier - Clinic/Group Practice 2264498567 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0909927Knight Medical & Rehab Center LTD4300 N Brandywine Dr, Peoria, IL 61614Provider-performed microscopyApr 11, 2028

National Provider Directory

National Provider Directory

Locations

5401 N Knoxville Ave
Ste 104
Peoria, IL 61614
Phone (309) 692-0123

4300 N Brandywine Dr
Peoria, IL 61614
Phone (309) 338-3301

6811 N Knoxville Ave
Peoria, IL 61614
Phone (309) 692-0123

Practitioners & affiliated clinicians

Practitioners 1

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": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1083738280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N BRANDYWINE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145550",
            "telephone_number": "309-692-0123",
            "fax_number": "309-692-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N BRANDYWINE DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145550",
            "telephone_number": "309-692-0123",
            "fax_number": "309-692-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT MEDICAL & REHAB CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-692-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011932",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017539",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Knight Center for Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Knight Center for Integrated Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.