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
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017102 | OH | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Institute for Development and Learning | Past | Accepting new patients | |
| Advanced Therapy Solutions, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Know Your Mate Ministries
- Debra Jeanne Knowles
- Michele Knowles
- Joselyn Knowling
- Kaley Knowlton
- Kellie W Knox
- Richard Frederick Knox
- Stacy Knox
- Virginia Harris Knox
- Kny D.O. LLC
All providers in Greenville, SC · Pediatric Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.