Individual provider Active NPI

Jennifer Knauth, OTD, OTR/L

  • Occupational Therapist
  • Red Oak, TX
National Provider Identifier
1356009203
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122230 Issued in TX
Practice address
200 N I 35 Ste C
Red Oak, TX 75154-4301
Phone
(469) 917-0805
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 122230 TX Primary

Addresses

Primary practice location

200 N I 35 Ste C
Red Oak, TX 75154-4301

Mailing address

200 N I 35 Ste C
Red Oak, TX 75154-4301
Phone (469) 917-0805

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
122230TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tally M Ward CurrentSince Dec 12, 2021 Accepting new patients
Therapy Ops, PLLC Occupational Therapist CurrentSince Dec 12, 2021 Accepting new patients

Locations

200 N Interstate 35 Rd
Ste C
Red Oak, TX 75154
Phone (469) 917-0805

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1356009203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE C",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544301",
            "telephone_number": "469-917-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N I 35 STE C",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751544301",
            "telephone_number": "469-917-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUTH",
        "first_name": "JENNIFER",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.