Active NPI
John Edward Kneedler, PT
- Physical Therapist
- Hendersonville, NC
National Provider Identifier
1578811188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9902
- Practice address
- 600 Carolina Village Road
Hendersonville, NC 28792 - Phone
- (828) 692-6275
- Fax
- (828) 692-6273
- NPI assigned
- Aug 29, 2012
- Last updated
- Aug 29, 2012
- 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 | 9902 | NC | Primary |
Addresses
Primary practice location
600 Carolina Village Road
Hendersonville, NC 28792
Mailing address
600 Carolina Village Road
Hendersonville, NC 28792
Phone (828) 692-6275
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9902 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1578811188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CAROLINA VILLAGE ROAD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "28792",
"telephone_number": "828-692-6275",
"fax_number": "828-692-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CAROLINA VILLAGE ROAD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "28792",
"telephone_number": "828-692-6275",
"fax_number": "828-692-6273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEEDLER",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "9902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.