Organization Active NPI

John Richard Knox

Doing business as Del Norte Physical Therapy

  • Physical Therapist
  • Crescent City, CA
National Provider Identifier
1306040175
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT13155 Issued in CA
Legal business name
JOHN RICHARD KNOX
Doing business as
Del Norte Physical Therapy
Practice address
440 L Street
Crescent City, CA 95531-4114
Phone
(707) 465-3311
Fax
(707) 464-1804
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
John Richard Knox, PT
Title
Owner
Phone
(707) 465-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT13155 CA Primary

Addresses

Primary practice location

440 L Street
Crescent City, CA 95531-4114

Mailing address

440 L Street
Crescent City, CA 95531-4114
Phone (707) 465-3311

Other identifiers 2

IdentifierTypeStateIssuer
PT0131550MedicaidCA
ZZZ52038ZOtherCABLUE SHIELD CA

Other names 1

  • DEL NORTE PHYSICAL THERAPY Doing business as

National Provider Directory

National Provider Directory

Locations

440 L St
Crescent City, CA 95531
Phone (707) 465-3311

1080 Mason Mall
Ste 3
Crescent City, CA 95531
Phone (707) 464-3245

Practitioners & affiliated clinicians

Practitioners 1

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": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1306040175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 L STREET",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314114",
            "telephone_number": "707-465-3311",
            "fax_number": "707-464-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 L STREET",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314114",
            "telephone_number": "707-465-3311",
            "fax_number": "707-464-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN RICHARD KNOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-465-3311",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0131550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA",
            "identifier": "ZZZ52038Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEL NORTE PHYSICAL THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crescent City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.