Individual provider Active NPI

Connor J Knapp, DPT

  • Physical Therapist
  • Madison, AL
National Provider Identifier
1720336340
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6769 Issued in AL
Practice address
3825 Sullivan St Ste 2
Madison, AL 35758-3147
Phone
(256) 325-2130
Fax
(256) 325-2142
NPI assigned
Aug 29, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 490 AK
Sports Physical Therapist 2251S0007X
Orthopedic Physical Therapist 2251X0800X PTH6769 AL
Physical Therapist 225100000X PTH6769 AL Primary

Addresses

Primary practice location

3825 Sullivan St Ste 2
Madison, AL 35758-3147

Mailing address

3825 Sullivan St Ste 2
Madison, AL 35758-3147
Phone (256) 325-2130

Other practice location 1

44 Hughes Rd
Suite 1050
Madison, AL 35758-3045
Phone (256) 990-7389

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

State licenses

LicenseStateTypeSpecialty
490AKMDCounselor
PTH6769ALMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Pole Physical Therapy, Inc Orthopedic PastSince Jan 1, 1999 Accepting new patients
Compass Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1720336340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN ST STE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583147",
            "telephone_number": "256-325-2130",
            "fax_number": "256-325-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 SULLIVAN ST STE 2",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583147",
            "telephone_number": "256-325-2130",
            "fax_number": "256-325-2142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Hughes Rd",
            "address_2": "Suite 1050",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357583045",
            "country_code": "US",
            "telephone_number": "256-990-7389",
            "fax_number": "256-990-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "CONNOR",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "490",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH6769",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.