Active NPI
Jordan Leeann Knouse, DPT
- Physical Medicine & Rehabilitation Physician
- Redding, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT43184
- Practice address
- 2216 Buenaventura Blvd Ste B
Redding, CA 96001-3838 - Phone
- (530) 338-0002
- Fax
- (855) 851-6199
- NPI assigned
- Nov 15, 2016
- Last updated
- Nov 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | PT43184 | CA | |
| Rehabilitation Hospital Unit | 273Y00000X | 43184 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | PT43184 | CA | Primary |
Addresses
Primary practice location
2216 Buenaventura Blvd Ste B
Redding, CA 96001-3838
Mailing address
2216 Buenaventura Blvd Ste B
Redding, CA 96001-3838
Phone (530) 338-0002
Other names 1
- Jordan Leeann Isom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
406 S 1St St
Suite 2
Selah, WA 98942-1934
Phone (509) 697-9109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43184 | CA | MD | Pharmacist |
| PT43184 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevate Physical Therapy Inc | Current | Accepting new patients | |
| Therapeutic Associates Inc | Current | Accepting new patients | |
| Therapeutic Associates Inc | Current | Accepting new patients | |
| Kevin Snider Physical Therapy, Inc | Current | Accepting new patients | |
| Therapeutic Associates Inc | Current | Accepting new patients | |
| Her Pelvic Health Physical Therapy P.C. | Current | Accepting new patients | |
| Shasta Orthopedics & Sports Medicine a Medical Corporation | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Therapeutic Associates Inc | Past | Accepting new patients | |
| Apogee Outpatient Surgery Center | Past | Accepting new patients |
Locations
1920 Barney Rd
Anderson, CA 96007
Phone (530) 365-2142
1255 Liberty St
Redding, CA 96001
Phone (530) 224-2226
16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153
1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962
17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924
5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975
406 S 1st St
Ste 2
Selah, WA 98942
Phone (509) 697-9109
17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383
210 S 72nd Ave
Ste 130
Yakima, WA 98908
Phone (509) 453-3103
Interoperability endpoints
- jordan.knouse.1@31414.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TAI Evergreen Physical Therapy
- Physical Therapist
- Spokane Valley, WA
- NPI 1497731244
-
dba Shasta Orthopaedics and Sports Medicine
- Orthopaedic Surgery Physician
- Redding, CA
- NPI 1750493979
Physical Medicine & Rehabilitation
-
- Physical Therapy Clinic/Center
- Yakima, WA
- NPI 1639979958
-
- Physical Therapist
- Anderson, CA
- NPI 1114538782
-
- Physical Therapist
- Anderson, CA
- NPI 1578528261
-
- Ambulatory Surgical Clinic/Center
- Redding, CA
- NPI 1912094509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1659813012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 BUENAVENTURA BLVD STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960013838",
"telephone_number": "530-338-0002",
"fax_number": "855-851-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2216 BUENAVENTURA BLVD STE B",
"city": "REDDING",
"state": "CA",
"postal_code": "960013838",
"telephone_number": "530-338-0002",
"fax_number": "855-851-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOUSE",
"first_name": "JORDAN",
"middle_name": "LEEANN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "PT43184",
"primary": false
},
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "CA",
"license": "43184",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "PT43184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDAN",
"last_name": "ISOM",
"middle_name": "LEEANN",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.