Stacey Knutson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

290 Issued in NE

Practice address

700 W Benjamin Ave
Norfolk, NE 68701-2983

Phone

(402) 860-8105

NPI assigned

Feb 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hausmann Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Pierce, NE
  • NPI 1275885675
  NPD
• Boone County Health Center

  • Rural Health Clinic/Center
  • Saint Edward, NE
  • NPI 1144119488
  NPD (past)
• Mid-Nebraska Lutheran Home, Assn.

  • Skilled Nursing Facility
  • Newman Grove, NE
  • NPI 1003807942
  NPD (past)

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1629602180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W BENJAMIN AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012983",
            "telephone_number": "402-860-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Newman Grove",
            "state": "NE",
            "postal_code": "687586017",
            "country_code": "US",
            "telephone_number": "402-447-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Marie Kneifl
• Teagan Kneifl
• Tielor Kneifl
• Branislava Knezevic, PH.D., LMHP
• Fonda Anne Knutson
• Ashley Marie Koch
• Macy Grace Koch
• Madison Koch
• Alicia Koehler
• Renata Koehler

• Physical Therapy Assistant in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Physical Therapy Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.