Jacob Kneidel, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

857 Collier Rd NW Ste 1
Atlanta, GA 30318-2544

Phone

(404) 419-7760

NPI assigned

May 17, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Sport and Spine Physical TherapyGroup PAC ID 3779666185, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Atlanta Sport & Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1922294073
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1134866676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 BEECH HAVEN RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 COLLIER RD NW STE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182544",
            "telephone_number": "404-419-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNEIDEL",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric M Knauer, MD
• Mallory Lauren Knauff, PTA
• Michael David Knauss, PHARMD
• Stuart J Knechtle, MD
• Lee Michael Kneer, M.D.
• Andrea E Knight, D.C.
• Brian Douglas Knight, D.C.
• Javion Knight
• Jennifer Knight
• Linda Mills Knight, M.S.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.