Jaclyn Ann Knutson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016478 Issued in IL

Practice address

1865 E Belvidere Rd
Grayslake, IL 60030-2218

Phone

(847) 805-8477

NPI assigned

Oct 13, 2008

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

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1669624482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 BEVERLY DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600466408",
            "telephone_number": "773-519-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 E BELVIDERE RD",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302218",
            "telephone_number": "847-805-8477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Lilac Ave",
            "address_purpose": "LOCATION",
            "city": "Fox Lake",
            "state": "IL",
            "postal_code": "600201803",
            "country_code": "US",
            "telephone_number": "847-973-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483204",
            "country_code": "US",
            "telephone_number": "847-990-5350",
            "fax_number": "847-573-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "JACLYN",
        "middle_name": "ANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yoo Jin Kim, BS
• Scott A Kimmel, MPT
• Kind Speech Solutions, PLLC
• Courtney Kindelin, M.S., CCC-SLP
• Robert Scott King, DDS
• Joanna Zdzislawa Kolanowska, D.D.S.
• Frank Carl Koster, PHARMMD
• Michael Kraft, MD
• Janice Marie Krakora-Looby, M.D.
• Marisol Kramer, R.D.,L.D.N.

• Physical Therapist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.