Paul James Knell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004154A Issued in IN

Practice address

604 Rennaker St
La Fontaine, IN 46940-9045

Phone

(765) 663-9350

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Sex

Male

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1699084913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 WABASH ST",
            "city": "BERNE",
            "state": "IN",
            "postal_code": "467112066",
            "telephone_number": "260-589-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 RENNAKER ST",
            "city": "LA FONTAINE",
            "state": "IN",
            "postal_code": "469409045",
            "telephone_number": "765-663-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELL",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004154A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in La Fontaine, IN
• Providers in La Fontaine, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.