Active NPI
Jolene Knee, PHYSICAL THERAPIST
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1780126227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12060
- Practice address
- 1717 W Northern Ave
Phoenix, AZ 85021-5469 - Phone
- (602) 535-8255
- NPI assigned
- Nov 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12060 | AZ | Primary |
Addresses
Primary practice location
1717 W Northern Ave
Phoenix, AZ 85021-5469
Mailing address
4033 E Fairmount Ave
Phoenix, AZ 85018-5217
Phone (317) 345-1687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230706002026 | AZ | Practitioner - Physical Therapist in Private Practice | 8325407513 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rehab Specialists Outpatient LLC
Practice addresses (Care Compare)
65 E University Dr
FL 1
Tempe, AZ 85281-1091
Phone (480) 317-6183
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12060 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Physical Therapist | Current | Accepting new patients |
Locations
4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129
Organizations & group practices 7
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1780126227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 E FAIRMOUNT AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850185217",
"telephone_number": "317-345-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 W NORTHERN AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850215469",
"telephone_number": "602-535-8255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEE",
"first_name": "JOLENE",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-15",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "12060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.