Knob Oak, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

112949 Issued in TX

Legal business name

KNOB OAK, INC.

Doing business as

Knob Oak

Practice address

9714 Knob Oak
San Antonio, TX 78250-3423

Phone

(210) 680-6768

Fax

(210) 520-0812

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marc F Muckleroy

Title

Administrator

Phone

(210) 680-6768

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Knob Oak Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45H065

Legal name

KNOB OAK

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 20, 1993

Last certification

Dec 16, 2025

Beds

6

Ownership / control type

Private (non-profit)

Facility address

9714 Knob Oak
San Antonio, TX 78250

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336199637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9714 KNOB OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503423",
            "telephone_number": "210-680-6768",
            "fax_number": "210-520-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 KNOB OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782503423",
            "telephone_number": "210-680-6768",
            "fax_number": "210-520-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOB OAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCKLEROY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-680-6768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "112949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "45H065",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knob Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanne Knight, D.O.
• Yvonne Knighton, ND, LAC
• Alexander Boupha Knipe, LCSW
• Bryan Knipfer, D.C.
• Mary E. Knitt, LOC, OTR
• Sharon Knoblock, LPC AND LCDC
• Leanne Ruth Knoespel, RPH
• Donald L. Knoll, M.S.W.
• Judith M Knoll, DO
• Max Lian Knoll, LPC-S

• Intellectual Disabilities Intermediate Care Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.