Active NPI
Robert C Knight, LMT
- Massage Therapist
- Branson West, MO
National Provider Identifier
1205154242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2004018311
- Practice address
- 16282 State Highway 13
Suite F
Branson West, MO 65737-8863 - Phone
- (417) 272-8288
- NPI assigned
- May 15, 2010
- Last updated
- May 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2004018311 | MO | Primary |
Addresses
Primary practice location
16282 State Highway 13
Suite F
Branson West, MO 65737-8863
Mailing address
PO Box 222
Reeds Spring, MO 65737-0222
Phone (417) 272-8288
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 |
|---|---|---|---|
| 2004018311 | MO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273881600000",
"number": "1205154242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "REEDS SPRING",
"state": "MO",
"postal_code": "657370222",
"telephone_number": "417-272-8288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16282 STATE HIGHWAY 13",
"address_2": "SUITE F",
"city": "BRANSON WEST",
"state": "MO",
"postal_code": "657378863",
"telephone_number": "417-272-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-15",
"last_updated": "2010-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2004018311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Branson West, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.