Active NPI
Mitchell Knauth, LAT
- Athletic Trainer
- San Antonio, TX
National Provider Identifier
1790284388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 12049 Blanco Rd
San Antonio, TX 78216-2411 - Phone
- (210) 356-0009
- NPI assigned
- Feb 8, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
12049 Blanco Rd
San Antonio, TX 78216-2411
Mailing address
20702 Blue Trinity
San Antonio, TX 78259-2295
Other practice location 1
12049 Blanco Rd
San Antonio, TX 78216-2411
Phone (210) 356-0009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1790284388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20702 BLUE TRINITY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12049 BLANCO RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782162411",
"telephone_number": "210-356-0009"
}
],
"practiceLocations": [
{
"address_1": "12049 Blanco Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782162411",
"country_code": "US",
"telephone_number": "210-356-0009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNAUTH",
"first_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.