Individual provider Active NPI

Olivia R Knight, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1497337265
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14519 Issued in FL
Practice address
4641 Devon Ave
Lakeland, FL 33813-2053
Phone
(269) 449-8484
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301011067 MI
Chiropractor 111N00000X 14519 FL Primary

Addresses

Primary practice location

4641 Devon Ave
Lakeland, FL 33813-2053

Mailing address

4641 Devon Ave
Lakeland, FL 33813-2053
Phone (269) 449-8484

Other practice location 1

429 N Paw Paw St
Coloma, MI 49038-9567
Phone (269) 468-5775

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
14519FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Well Society, LLC Chiropractor CurrentSince Feb 23, 2025 Accepting new patients
Orrison Rehabilitation Services, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

336 Kathleen Rd
Lakeland, FL 33815

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1497337265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 DEVON AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132053",
            "telephone_number": "269-449-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 DEVON AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132053",
            "telephone_number": "269-449-8484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 N Paw Paw St",
            "address_purpose": "LOCATION",
            "city": "Coloma",
            "state": "MI",
            "postal_code": "490389567",
            "country_code": "US",
            "telephone_number": "269-468-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "OLIVIA",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301011067",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.