Active NPI
Ellen Sarah Knott, PT, DPT
- Pediatric Physical Therapist
- Los Angeles, CA
National Provider Identifier
1104389873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT43311
- Practice address
- 13075 Pacific Promenade
Los Angeles, CA 90094-2110 - Phone
- (818) 631-4334
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT43311 | CA | Primary |
Addresses
Primary practice location
13075 Pacific Promenade
Los Angeles, CA 90094-2110
Mailing address
13075 Pacific Promenade Apt 105
Playa Vista, CA 90094-2109
Phone (818) 631-4334
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT43311 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1104389873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13075 PACIFIC PROMENADE APT 105",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942109",
"telephone_number": "818-631-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13075 PACIFIC PROMENADE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900942110",
"telephone_number": "818-631-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTT",
"first_name": "ELLEN",
"middle_name": "SARAH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT43311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.