Organization Active NPI

Arthritis and Rehabilitation Medicine, PLLC

  • Medical Specialty Clinic/Center
  • Pine Knoll Shores, NC
National Provider Identifier
1235670175
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
38137 Issued in NC
Legal business name
ARTHRITIS AND REHABILITATION MEDICINE, PLLC
Practice address
320 Salter Path Rd # Unitsab
Pine Knoll Shores, NC 28512-6135
Phone
(252) 773-0068
Fax
(252) 773-0110
NPI assigned
Mar 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Authorized official

Name
Dr. Kevin McKnight, M.D.NPI 1598773343
Title
Owner/Physician
Phone
(252) 723-1369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 38137 NC Primary

Addresses

Primary practice location

320 Salter Path Rd # Unitsab
Pine Knoll Shores, NC 28512-6135

Mailing address

PO Box 966
Atlantic Beach, NC 28512-0966
Phone (252) 723-1369

Other identifiers 1

IdentifierTypeStateIssuer
1235670175MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170814000157 NC Part B Supplier - Clinic/Group Practice 4789955543 Receives reassigned benefits from 2 practitioners
Practice locations: Pine Knoll Shores, NC

National Provider Directory

National Provider Directory

Locations

3014 Bridges St
Morehead City, NC 28557
Phone (252) 499-9021

320 Salter Path Rd
Pks, NC 28512
Phone (252) 773-0068

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1235670175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "ATLANTIC BEACH",
            "state": "NC",
            "postal_code": "285120966",
            "telephone_number": "252-723-1369",
            "fax_number": "252-773-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SALTER PATH RD # UNITSAB",
            "city": "PINE KNOLL SHORES",
            "state": "NC",
            "postal_code": "285126135",
            "telephone_number": "252-773-0068",
            "fax_number": "252-773-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS AND REHABILITATION MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "252-723-1369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "38137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235670175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Knoll Shores, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.