Clifford P Knelsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1687 Issued in ID

Practice address

328 Warner Dr
Ste 8
Lewiston, ID 83501-4441

Phone

(208) 746-7573

Fax

(208) 746-4519

NPI assigned

Jun 6, 2006

Sex

Male

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knelsen Twin Rivers Physical TherapyGroup PAC ID 6002295243, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.77 of 100Reported as individual

Quality

20

Improvement activities

0

Cost

52.57

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Knelsen Twin Rivers Physical Therapy

  • Physical Therapist
  • Clarkston, WA
  • NPI 1013669852
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1750320677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WARNER DR",
            "address_2": "STE 8",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-746-7573",
            "fax_number": "208-746-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 WARNER DR",
            "address_2": "STE 8",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-746-7573",
            "fax_number": "208-746-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELSEN",
        "first_name": "CLIFFORD",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT1687",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806463200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Klappenbach, MS, EDS
• Wendy Klemm
• Klemp Optometry
• Daniel Robert Klemp, O.D.
• Beverly Alane Kloepfer, NP-C
• Sarah Manning Knewbow, FNP-C
• Kyle Joseph Knigge, DPT
• Stephanie Knittel
• Gerald L Knouf, MD
• Todd Kolb, RPH

• Physical Therapist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.