Jason William Knicley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23476 Issued in MD

Practice address

3540 Sugarloaf Pkwy Ste D03
Frederick, MD 21704-7901

Phone

(240) 341-2198

Fax

(240) 454-8423

NPI assigned

Nov 3, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Knicley SE, LLC

  • Orthopedic Physical Therapist
  • Frederick, MD
  • NPI 1619480258
  NPD Authorized official
• Life Fitness Physical Therapy LLC

  • Physical Therapist
  • Ellicott City, MD
  • NPI 1285882670
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1376844613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10938 LOUIS DETRICK LN",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217706030",
            "telephone_number": "301-992-6797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SUGARLOAF PKWY STE D03",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047901",
            "telephone_number": "240-341-2198",
            "fax_number": "240-454-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNICLEY",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Ellen Klink, PT
• Michael Knable, D.O.
• Charles Ira Knapp, DDS, MA, MS
• Lara Rubey Dean Knepper, LCSW-C
• Knicley SE, LLC
• Roy Knight
• Alison Knotek, CD(DONA)
• Dana Lea Knott, LCSW-C
• Theresa Knox
• Sarah K Knutson, LCPC

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.