Ryan Knuckles

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2014004291 Issued in MO

Practice address

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077

Phone

(636) 220-6969

Fax

(636) 220-6973

NPI assigned

Feb 26, 2014

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

Enrolled in MO

Enrollment records 1

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.

• Performance 21 Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Arnold, MO
  • NPI 1578336822

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Axes Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1003280421

  Physical Therapist

  Medicare reassignment NPD
• Core Rehab and Wellness, LLC

  • Physical Therapist
  • Weldon Spring, MO
  • NPI 1144867086
  Medicare reassignment NPD
• Axes Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1386069433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-6540",
            "fax_number": "636-422-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD",
            "address_2": "SUITE 28",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-220-6969",
            "fax_number": "636-220-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUCKLES",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2014004291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Deane Kitchura, PA
• Diane Elizabeth Klenke, MA. PLPC
• Mary Kathleen Klepzig, FNP
• Catherine Ann Kluge, LPC
• Rita Voigt Knesel, OTR/L
• Yelena Kogan
• Logan J Koopman, DPT
• Brooke Korhammer, DC
• Melanie Kornblum, OTR/L
• Esther Leni Kraai, DC,RN

• Physical Therapist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.