Active NPI
Marissa Kay Knott, DPT
- Physical Therapist
- Woodbine, IA
National Provider Identifier
1366044893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 101456
- Practice address
- 601 Snyder Rd Ste a
Woodbine, IA 51579-1123 - Phone
- (712) 318-1919
- NPI assigned
- Nov 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 101456 | IA | Primary |
Addresses
Primary practice location
601 Snyder Rd Ste a
Woodbine, IA 51579-1123
Mailing address
2417 Easton TRL
Pisgah, IA 51564-4029
Phone (402) 980-0339
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 |
|---|---|---|---|
| 101456 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1366044893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 EASTON TRL",
"city": "PISGAH",
"state": "IA",
"postal_code": "515644029",
"telephone_number": "402-980-0339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SNYDER RD STE A",
"city": "WOODBINE",
"state": "IA",
"postal_code": "515791123",
"telephone_number": "712-318-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOTT",
"first_name": "MARISSA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "101456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.