Active NPI
Michael Donald Knecht
- Chiropractor
- Fort Myers, FL
National Provider Identifier
1487948204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11188
- Practice address
- 12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467 - Phone
- (239) 243-8810
- Fax
- (239) 243-8804
- NPI assigned
- Jun 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011921 | IL | |
| Chiropractor | 111N00000X | CH11188 | FL | Primary |
Addresses
Primary practice location
12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467
Mailing address
12651 McGregor Blvd
Suite 102
Fort Myers, FL 33919-4467
Phone (239) 243-8810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5256 Summerlin Commons Way
Suite 204
Fort Myers, FL 33907-2147
Phone (239) 204-9987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011921 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfshore Spinal Care, LLC | Chiropractor | Current | Accepting new patients |
Locations
5256 Summerlin Commons Way
Ste 204
Fort Myers, FL 33907
Phone (239) 204-9987
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.
-
- Chiropractor
- Fort Myers, FL
- NPI 1528650363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1487948204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12651 MCGREGOR BLVD",
"address_2": "SUITE 102",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339194467",
"telephone_number": "239-243-8810",
"fax_number": "239-243-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12651 MCGREGOR BLVD",
"address_2": "SUITE 102",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339194467",
"telephone_number": "239-243-8810",
"fax_number": "239-243-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNECHT",
"first_name": "MICHAEL",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011921",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.