Active NPI
Evan Knowlton, PT, DPT
- Physical Therapist
- Keene, NH
National Provider Identifier
1578088902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4268
- Practice address
- 255 West St
Keene, NH 03431-2429 - Phone
- (603) 355-1578
- NPI assigned
- Aug 7, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4268 | NH | Primary |
Addresses
Primary practice location
255 West St
Keene, NH 03431-2429
Mailing address
173 Washington St Apt 8
Keene, NH 03431-3148
Phone (845) 588-0380
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4268 | NH | MD | Physical Therapist |
Interoperability endpoints
- evan.knowlton@548712404353028.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1578088902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 WASHINGTON ST APT 8",
"city": "KEENE",
"state": "NH",
"postal_code": "034313148",
"telephone_number": "845-588-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312429",
"telephone_number": "603-355-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOWLTON",
"first_name": "EVAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-07",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "4268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.