Active NPI
Connor J Knapp, DPT
- Physical Therapist
- Madison, AL
National Provider Identifier
1720336340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6769
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 490 | AK | MD | Counselor |
| PTH6769 | AL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Pole Physical Therapy, Inc | Orthopedic | Past | 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.
-
- Physical Therapist
- Madison, AL
- NPI 1982614707
-
- Orthopedic Physical Therapist
- North Pole, AK
- NPI 1639238694
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.