Kelli Knippa, LAT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT7689 Issued in TX

Practice address

4202 44TH St
Lubbock, TX 79413-3304

Phone

(512) 299-6389

NPI assigned

Dec 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1575158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1720625544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 RANCHO BUENO DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786289520",
            "telephone_number": "512-299-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 44TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133304",
            "telephone_number": "512-299-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIPPA",
        "first_name": "KELLI",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "TX",
            "license": "AT7689",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "AT7689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANY",
            "identifier": "10585751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Knapp, M.D.
• Andrew Steven Knight, MD
• Kaysen Knight
• Donny Wayne Knighten, APRN
• McKenna Mae Knipp, PT, DPT
• James W Knott III, D.D.S.
• Miranda Knowles, LCSW-S
• Ko Anesthesia, LLC
• James Sang Ko, MD
• Jenna Rose Kobus, OTR/L

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.