Active NPI
Brenda Peitz Knaeble, P.T., A.T.C.
- Orthopedic Physical Therapist
- Elk River, MN
National Provider Identifier
1306893177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 14181 Business Center Dr NW
Elk River, MN 55330-4654 - Phone
- (763) 236-0407
- NPI assigned
- May 27, 2006
- Last updated
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 4570 | MN | |
| Orthopedic Physical Therapist | 2251X0800X | 4570 | MN | |
| Orthopedic Physical Therapist | 2251X0800X | NU | Primary |
Addresses
Primary practice location
14181 Business Center Dr NW
Elk River, MN 55330-4654
Mailing address
425 Crescent St
Big Lake, MN 55309-9493
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation East Inc | Past | Accepting new patients | |
| Monticello Physical Therapy & Sports Medicine, LLC | Past | Accepting new patients |
Interoperability endpoints
- bknaeble79934@excellian.direct.allina.com
Organizations & group practices 2
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.
-
dba Monticello Physical Therapy
- Physical Therapist
- Monticello, MN
- NPI 1770795924
-
dba NovaCare Rehabilitation
- Physical Therapy Clinic/Center
- Ferndale, MI
- NPI 1245235191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1306893177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 CRESCENT ST",
"city": "BIG LAKE",
"state": "MN",
"postal_code": "553099493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14181 BUSINESS CENTER DR NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304654",
"telephone_number": "763-236-0407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAEBLE",
"first_name": "BRENDA",
"middle_name": "PEITZ",
"credential": "P.T., A.T.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MN",
"license": "4570",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MN",
"license": "4570",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.