Active NPI
Carolyn Rebecca Knight
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1093264251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15852
- Practice address
- 5939 Reddman Rd
Charlotte, NC 28212-1654 - Phone
- (704) 563-6862
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15852 | NC | Primary |
Addresses
Primary practice location
5939 Reddman Rd
Charlotte, NC 28212-1654
Mailing address
5939 Reddman Rd
Charlotte, NC 28212-1654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15852 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1093264251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5939 REDDMAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282121654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5939 REDDMAN RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282121654",
"telephone_number": "704-563-6862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "CAROLYN",
"middle_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "15852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.