Individual provider Active NPI

Rachel Masciarelli Knight, PT, DPT

  • Physical Therapist
  • Center, TX
National Provider Identifier
1366092835
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10465 Issued in LA
Practice address
204 Tenaha St
Center, TX 75935-3862
Phone
(936) 280-0280
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10465 LA Primary

Addresses

Primary practice location

204 Tenaha St
Center, TX 75935-3862

Mailing address

204 Tenaha St
Center, TX 75935-3862
Phone (936) 280-0280

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
10465LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Therapy and Balance Center, LLC Physical Therapist CurrentSince Jul 24, 2022 Accepting new patients

Locations

8961 Youree Dr
Shreveport, LA 71115
Phone (318) 671-8772

204 Tenaha St
Center, TX 75935
Phone (318) 465-3391

Organizations & group practices 1

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1366092835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 TENAHA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353862",
            "telephone_number": "936-280-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 TENAHA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353862",
            "telephone_number": "936-280-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "RACHEL",
        "middle_name": "MASCIARELLI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.