Active NPI
Raymond D Knizek, L, ATC
- Athletic Trainer
- Saratoga Springs, NY
National Provider Identifier
1144356189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000676-1
- Practice address
- 56 Duplainville Rd
Saratoga Springs, NY 12866-9020 - Phone
- (518) 581-4487
- Fax
- (518) 581-4904
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000676-1 | NY | Primary |
Addresses
Primary practice location
56 Duplainville Rd
Saratoga Springs, NY 12866-9020
Mailing address
4961 Bliss Rd
Ballston Spa, NY 12020-2047
Phone (518) 882-9141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000676-1 | Other | NY | ATC LICENSE NUMBER |
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 |
|---|---|---|---|
| 000676-1 | NY | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144356189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4961 BLISS RD",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120202047",
"telephone_number": "518-882-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 DUPLAINVILLE RD",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128669020",
"telephone_number": "518-581-4487",
"fax_number": "518-581-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIZEK",
"first_name": "RAYMOND",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "L, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "000676-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATC LICENSE NUMBER",
"identifier": "000676-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.