Courtney N Knox

Individual provider Active NPI Pediatric Physical Therapist · Greenville, SC

NPI 1780109298 · NPPES record last updated Oct 31, 2018

Key facts

NPI
1780109298
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Physical Therapist 2251P0200X
License
PT017102 (OH)
Practice address
545 Verdae Blvd Ste B
Greenville, SC 29607
Phone
(864) 520-8910
Fax
(864) 520-8912
NPI assigned
Aug 4, 2017
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT017102OHMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Institute for Development and Learning Past Accepting new patients
Advanced Therapy Solutions, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT017102 OH Yes

Addresses

Primary practice location

545 Verdae Blvd Ste B
Greenville, SC 29607

Mailing address

8811 Warren H Abernathy Hwy
Spartanburg, SC 29301-1228
Phone (864) 574-7282

Other practice location 1

545 Verdae Blvd Ste B
Greenville, SC 29607
Phone (864) 520-8910

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2018.

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1780109298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 WARREN H ABERNATHY HWY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011228",
            "telephone_number": "864-574-7282",
            "fax_number": "864-574-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VERDAE BLVD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-520-8910",
            "fax_number": "864-520-8912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Verdae Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29607",
            "country_code": "US",
            "telephone_number": "864-520-8910",
            "fax_number": "864-520-8912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOX",
        "first_name": "COURTNEY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "OH",
            "license": "PT017102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

All providers in Greenville, SC · Pediatric Physical Therapist in South Carolina

Sources for this page

Verify at the official NPI Registry.