Individual provider Active NPI

Amy Knuppe, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1578866901
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-018221 Issued in IL
Practice address
1644 E 53Rd St
Chicago, IL 60615-4210
Phone
(773) 241-6450
Fax
(773) 241-6501
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-018221 IL Primary

Addresses

Primary practice location

1644 E 53Rd St
Chicago, IL 60615-4210

Mailing address

1644 E 53Rd St
Chicago, IL 60615-4210
Phone (773) 241-6450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201112000814 UT Practitioner - Physical Therapist in Private Practice 3274943741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back at Work of Utah LLCGroup PAC ID 9830517341, 17 clinicians

Practice addresses (Care Compare)

630 E 1400
Suite 140
Logan, UT 84341-2549
Phone (435) 213-3850

Merit-based Incentive Payment System (MIPS)

Final score
84.72 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
67.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-018221ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back at Work of Utah LLC Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

772 E 700 S
Ste 3
Clearfield, UT 84015
Phone (801) 217-3755

630 E 1400 N
Ste 140
Logan, UT 84341
Phone (435) 213-3850

595 W 465 N
Providence, UT 84332
Phone (385) 238-3900

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1578866901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154210",
            "telephone_number": "773-241-6450",
            "fax_number": "773-241-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 E 53RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606154210",
            "telephone_number": "773-241-6450",
            "fax_number": "773-241-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUPPE",
        "first_name": "AMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-018221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; 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.

Verify at the official NPI Registry.