Active NPI
Danielle Katelyn Knight, OTD
- Physical Rehabilitation Occupational Therapist
- Dublin, GA
National Provider Identifier
1679266175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT008123
- Practice address
- 1826 Veterans Blvd
Dublin, GA 31021-3620 - Phone
- (478) 697-4307
- NPI assigned
- May 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT008123 | GA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT008123 | GA | Primary |
Addresses
Primary practice location
1826 Veterans Blvd
Dublin, GA 31021-3620
Mailing address
2724 Branch Rd
Dudley, GA 31022-2624
Phone (478) 697-4307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Eagle Lake TRL
Rome, GA 30165-2246
Phone 82877452220027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008123 | GA | MD | Physical Rehabilitation Occupational Therapist |
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.
-
dba Broad River Rehab
- Occupational Therapist
- Charlotte, NC
- NPI 1902317589
GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1679266175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 BRANCH RD",
"city": "DUDLEY",
"state": "GA",
"postal_code": "310222624",
"telephone_number": "478-697-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 VETERANS BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213620",
"telephone_number": "478-697-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "DANIELLE",
"middle_name": "KATELYN",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "GA",
"license": "OT008123",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "GA",
"license": "OT008123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.