Active NPI
Matthew Brandt Knoebel, DPT
- Physical Therapist
- Bremerton, WA
National Provider Identifier
1710137393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60046014
- Practice address
- 4060 Wheaton Way
Suite C
Bremerton, WA 98310-3500 - Phone
- (360) 479-8477
- Fax
- (360) 479-8417
- NPI assigned
- Sep 19, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60046014 | WA | Primary |
Addresses
Primary practice location
4060 Wheaton Way
Suite C
Bremerton, WA 98310-3500
Mailing address
4040 Orchard St W
Suite 100
Fircrest, WA 98466-6606
Phone (253) 564-1560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8523789 | Medicaid | WA | |
| 8948653 | Other | WA | CRIME V |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| MVP Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
| Bainbridge Island Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Bainbridge Island, WA
- NPI 1639219868
-
- Physical Therapist
- Tacoma, WA
- NPI 1205124302
-
- Physical Therapist
- Port Orchard, WA
- NPI 1376501643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288656000000",
"number": "1710137393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 ORCHARD ST W",
"address_2": "SUITE 100",
"city": "FIRCREST",
"state": "WA",
"postal_code": "984666606",
"telephone_number": "253-564-1560",
"fax_number": "253-564-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 WHEATON WAY",
"address_2": "SUITE C",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103500",
"telephone_number": "360-479-8477",
"fax_number": "360-479-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOEBEL",
"first_name": "MATTHEW",
"middle_name": "BRANDT",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-19",
"last_updated": "2010-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60046014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8523789",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME V",
"identifier": "8948653",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.