Carolyn Bunton-Knoll, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004483A Issued in IN

Practice address

810 Michael Dr
Chesterton, IN 46304-2694

Phone

(219) 983-9832

NPI assigned

Mar 17, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1326409392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-6560",
            "fax_number": "219-365-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MICHAEL DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042694",
            "telephone_number": "219-983-9832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTON-KNOLL",
        "first_name": "CAROLYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004483A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daaiyah Brooks
• Alina Broski I, COTA/L
• Marc S Bruell, DPM
• Mary Lee Buckman, L.M.H.C.
• Steven Michael Bunag, PA-C
• Nathan Tyler Bush, PA-C
• Adrian Caguia
• Rachael E Callaway, RN, BSN, FNP
• Ashley Nicole Campbell
• Sandra Jennifer Carmichael, L.C.S.W.

• All providers in Chesterton, IN
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.