Active NPI
Bruce O Knudsen, PT
- Physical Therapist
- Bedford, IN
National Provider Identifier
1356562235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05013148A
- Practice address
- 2607 16TH St Ste 17
Bedford, IN 47421-3503 - Phone
- (812) 578-7168
- Fax
- (812) 578-7169
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05013148A | IN | Primary |
Addresses
Primary practice location
2607 16TH St Ste 17
Bedford, IN 47421-3503
Mailing address
2607 16TH St Ste 17
Bedford, IN 47421-3503
Phone (812) 578-7168
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5299 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1356562235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 16TH ST STE 17",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213503",
"telephone_number": "812-578-7168",
"fax_number": "812-578-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 16TH ST STE 17",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474213503",
"telephone_number": "812-578-7168",
"fax_number": "812-578-7169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUDSEN",
"first_name": "BRUCE",
"middle_name": "O",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05013148A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.