Active NPI
Brandy Knepp, PTA
- Physical Therapy Assistant
- Huntingburg, IN
National Provider Identifier
1154675486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06003559A
- Practice address
- 1712 N Leland Dr
Huntingburg, IN 47542-9348 - Phone
- (812) 683-4090
- NPI assigned
- Nov 8, 2012
- Last updated
- Nov 8, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06003559A | IN | Primary |
Addresses
Primary practice location
1712 N Leland Dr
Huntingburg, IN 47542-9348
Mailing address
12910 E 75 N
Loogootee, IN 47553-5201
Phone (812) 486-5745
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 |
|---|---|---|---|
| 06003559A | IN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1154675486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12910 E 75 N",
"city": "LOOGOOTEE",
"state": "IN",
"postal_code": "475535201",
"telephone_number": "812-486-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 N LELAND DR",
"city": "HUNTINGBURG",
"state": "IN",
"postal_code": "475429348",
"telephone_number": "812-683-4090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEPP",
"first_name": "BRANDY",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06003559A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntingburg, IN
- Marcia Katterhenry, PTA
- Kelly Family Dentistry, PC
- Christian H Kelly, DDS
- Joseph Michael Keusch, S.S.P.
- Andrea Lynn Klauss, C.O.T.A.
- Janelel Louise Knies, MSCCCSLP
- Life Chiropractic Center, Inc. (The Wellness Center)
- Casondra Grace Linne, RPH, PHARMD, MSCR
- Jonathan S. Lowrey, MD
- Frances Anne Macdonald, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.