Scott Daniel Kneller, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P12948 Issued in NC

Practice address

302 Selkirk TRL
Southern Pines, NC 28387-7233

Phone

(810) 625-1872

NPI assigned

Mar 5, 2007

Last updated

Jul 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500076800000",
    "number": "1801925730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 ROTHBURY DR",
            "city": "WHISPERING PINES",
            "state": "NC",
            "postal_code": "283279533",
            "telephone_number": "810-625-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SELKIRK TRL",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283877233",
            "telephone_number": "810-625-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNELLER",
        "first_name": "SCOTT",
        "middle_name": "DANIEL",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2017-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015127",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidzcare Pediatrics, PC
• Julia Dyan Ruth King, M.A., CCC/SLP
• Megan King
• Shannon Nykol Kitchen, MPT
• Scott M. Klenzak, M.D.
• Bianca Kenneshia Knight
• Tamara Korpak
• Kim U Kremer, PHARM.D.
• Alyssa Krysiak, LPCA, ATR
• Richard Martin Kuhns III, D.C.

• Physical Therapist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.