Organization Active NPI

Knot Just Physical Therapy

  • Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1093578346
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KNOT JUST PHYSICAL THERAPY
Practice address
2328 S 16TH St
Philadelphia, PA 19145-4310
Phone
(267) 679-3017
NPI assigned
Jan 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Mark Dinicola, PT, DPT
Title
Owner and Ceo
Phone
(267) 679-3017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2328 S 16TH St
Philadelphia, PA 19145-4310

Mailing address

2328 S 16TH St
Philadelphia, PA 19145-4310

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1093578346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 S 16TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454310",
            "telephone_number": "267-679-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOT JUST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "DINICOLA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "267-679-3017",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.