Active NPI
Phyllis Hayya Knopf, P.T., M.AC.
- Physical Therapist
- Fayetteville, AR
National Provider Identifier
1679612865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2922
- Practice address
- 216 W South St
Fayetteville, AR 72701-5959 - Phone
- (479) 200-5822
- NPI assigned
- Feb 5, 2007
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AK000525L | PA | |
| Physical Therapist | 225100000X | PT 2922 | AR | Primary |
| Physical Therapist | 225100000X | PT002254E | PA |
Addresses
Primary practice location
216 W South St
Fayetteville, AR 72701-5959
Mailing address
515 E Johnson St
Fayetteville, AR 72701-3510
Phone (479) 521-1544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AK000525L | PA | MD | Acupuncturist |
| PT 2922 | AR | MD | Physical Therapist |
| PT002254E | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1679612865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 E JOHNSON ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727013510",
"telephone_number": "479-521-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W SOUTH ST",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727015959",
"telephone_number": "479-200-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPF",
"first_name": "PHYLLIS",
"middle_name": "HAYYA",
"name_prefix": "Ms.",
"credential": "P.T., M.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "AK000525L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 2922",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT002254E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.