Individual provider Active NPI

Krista Thanos-Knapp, MOT, OTR/L

  • Occupational Therapist
  • Rock Island, IL
National Provider Identifier
1427367333
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056008911 Issued in IL
Practice address
4450 48TH Avenue CT
Rock Island, IL 61201-9213
Phone
(309) 558-0145
NPI assigned
Sep 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056008911 IL Primary

Addresses

Primary practice location

4450 48TH Avenue CT
Rock Island, IL 61201-9213

Mailing address

2016 N Main St
Davenport, IA 52803-2911
Phone (773) 308-6513

Other names 1

  • Krista Thanos Former name

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

LicenseStateTypeSpecialty
056008911ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Roots OT LLC Occupational Therapist CurrentSince Jan 19, 2025 Accepting new patients
Children'S Therapy Center of the Quad Cities Occupational Therapist CurrentSince Oct 6, 2024 Accepting new patients

Locations

4450 48th Avenue Ct
Rock Island, IL 61201
Phone (309) 558-0145

Organizations & group practices 2

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": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1427367333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 N MAIN ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032911",
            "telephone_number": "773-308-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 48TH AVENUE CT",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612019213",
            "telephone_number": "309-558-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANOS-KNAPP",
        "first_name": "KRISTA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "THANOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.