Individual provider Active NPI

Jill Elissa Knaust, PT

  • Specialist
  • Albany, NY
National Provider Identifier
1205994795
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
025731 Issued in NY
Practice address
1971 Western Ave
Albany, NY 12203-5066
Phone
(518) 869-6220
Fax
(518) 869-6465
NPI assigned
Dec 5, 2006
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 025731 NY Primary

Addresses

Primary practice location

1971 Western Ave
Albany, NY 12203-5066

Mailing address

1971 Western Ave
Albany, NY 12203-5066
Phone (518) 869-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000274 NY Practitioner - Physical Therapist in Private Practice 5092815522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John V Murphy Physical Therapy, PCGroup PAC ID 6305892514, 19 clinicians

Practice addresses (Care Compare)

1971 Western Ave
Suite 11
Albany, NY 12203-5066
Phone (518) 869-6220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John V Murphy Physical Therapy, PC Specialist CurrentSince Jan 1, 2007 Accepting new patients

Locations

1971 Western Ave
Albany, NY 12203
Phone (518) 452-2597

1971 Western Ave
Ste 100
Albany, NY 12203
Phone (518) 869-6220

1971 Western Ave
Ste 11
Albany, NY 12203
Phone (518) 869-6220

258 Ushers Rd
Ste 100
Clifton Park, NY 12065
Phone (518) 871-9097

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1205994795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-869-6220",
            "fax_number": "518-869-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUST",
        "first_name": "JILL",
        "middle_name": "ELISSA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "025731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.