Individual provider Active NPI

Jordan Leeann Knouse, DPT

  • Physical Medicine & Rehabilitation Physician
  • Redding, CA
National Provider Identifier
1659813012
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT43184 Issued in CA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161215001613 CA Practitioner - Physical Therapist in Private Practice 4789964479 Reassigns benefits to 1 organization
I20241122001031 WA Practitioner - Physical Therapist in Private Practice 4789964479 Reassigns benefits to 1 organization

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
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

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

LicenseStateTypeSpecialty
43184CAMDPharmacist
PT43184CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Physical Therapy Inc CurrentSince Jan 4, 2021 Accepting new patients
Therapeutic Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Therapeutic Associates Inc Current Accepting new patients
Kevin Snider Physical Therapy, Inc CurrentSince Jan 4, 2021 Accepting new patients
Therapeutic Associates Inc CurrentSince Nov 1, 2024 Accepting new patients
Her Pelvic Health Physical Therapy P.C. Current Accepting new patients
Shasta Orthopedics & Sports Medicine a Medical Corporation Physical Medicine & Rehabilitation CurrentSince Nov 29, 2016 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.