Individual provider Active NPI

Kaitlin Knox, PT

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1255063418
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28969 Issued in MD
Practice address
50 Foden Rd
South Portland, ME 04106-1718
Phone
(207) 780-8860
NPI assigned
Jun 27, 2022
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28969 MD Primary

Addresses

Primary practice location

50 Foden Rd
South Portland, ME 04106-1718

Mailing address

100 Gannett Dr Ste C
South Portland, ME 04106-5900
Phone (207) 347-2947

Other practice location 1

84 Marginal Way Ste 900
Portland, ME 04101-2476
Phone (207) 780-8860

Other practice location 2

259 Main St
Yarmouth, ME 04096-4703
Phone (207) 780-8860

Other identifiers 1

IdentifierTypeStateIssuer
28969OtherMDMARYLAND STATE BOARD OF PHYSICAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250114001088 MD Practitioner - Physical Therapist in Private Practice 0749718062 Reassigns benefits to 1 organization
I20250501000524 ME Practitioner - Physical Therapist in Private Practice 0749718062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermed PAGroup PAC ID 5092605261, 185 clinicians

Practice addresses (Care Compare)

100 Foden Rd
South Portland, ME 04106-2327
Phone (207) 874-1489

100 Foden Rd W
Suite 100
South Portland, ME 04106-2327
Phone (207) 523-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28969MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins Community Physicians Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Intermed, PA Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Intermed, PA Physical Therapist CurrentSince Apr 7, 2025 Accepting new patients
Johns Hopkins Community Physicians, Inc Current Accepting new patients
Intermed, PA Physical Therapist Past Accepting new patients

Locations

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

10753 Falls Rd
Ste 245
Lutherville, MD 21093
Phone (410) 583-2727

6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704

10803 Falls Rd
Ste 2100
Timonium, MD 21093
Phone (410) 583-2665

84 Marginal Way
Ste 900
Portland, ME 04101
Phone (207) 780-8860

100 Foden Rd
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-100
South Portland, ME 04106
Phone (207) 523-3900

100 Gannett Dr
Ste C
South Portland, ME 04106
Phone (207) 523-3649

50 Foden Rd
South Portland, ME 04106
Phone (207) 523-3700

Organizations & group practices 6

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1255063418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GANNETT DR STE C",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065900",
            "telephone_number": "207-347-2947",
            "fax_number": "207-874-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FODEN RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061718",
            "telephone_number": "207-780-8860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 Marginal Way Ste 900",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041012476",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 Main St",
            "address_purpose": "LOCATION",
            "city": "Yarmouth",
            "state": "ME",
            "postal_code": "040964703",
            "country_code": "US",
            "telephone_number": "207-780-8860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "KAITLIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE BOARD OF PHYSICAL THERAPY",
            "identifier": "28969",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "10803 Falls Rd Ste 2100",
            "city": "Lutherville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210934562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.