Jeffrey Micheal Knight, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003957 Issued in GA

Practice address

166 Interlochen Dr
Peachtree City, GA 30269-3354

Phone

(504) 432-2419

Fax

(770) 629-1202

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415577600000",
    "number": "1386773018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 INTERLOCHEN DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693354",
            "telephone_number": "504-432-2419",
            "fax_number": "770-629-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 INTERLOCHEN DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693354",
            "telephone_number": "504-432-2419",
            "fax_number": "770-629-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JEFFREY",
        "middle_name": "MICHEAL",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT003957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeromy Jerell King
• Renee S King, FNP-C
• Kingdomway Medical Inc
• Kingdomway Medical Inc.
• Kirsten Miller LLC
• Courtney Knowlin
• Linsey Dixon Koda, LPC, NCC
• Natalie Kohlhaas, MA, LPC, NCC, CPCS
• Amor Kok, LPC
• Michelle Peterson Konwick, D.M.D

• Physical Therapist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.