Active NPI
Joan Maree Kniest, LMT
- Mechanotherapist
- Portland, OR
National Provider Identifier
1679725949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 11535
- Practice address
- 3644 SW Troy St
Suite 200
Portland, OR 97219-1662 - Phone
- (503) 246-3193
- NPI assigned
- Oct 18, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 11535 | OR | Primary |
Addresses
Primary practice location
3644 SW Troy St
Suite 200
Portland, OR 97219-1662
Mailing address
5941 SW Karla CT
Portland, OR 97239-1185
Phone (503) 246-3193
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 |
|---|---|---|---|
| 11535 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224288000000",
"number": "1679725949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 SW KARLA CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391185",
"telephone_number": "503-246-3193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3644 SW TROY ST",
"address_2": "SUITE 200",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191662",
"telephone_number": "503-246-3193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIEST",
"first_name": "JOAN",
"middle_name": "MAREE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-18",
"last_updated": "2008-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "11535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.