Andrew Knox, PT COMT CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3633 Issued in OR

Practice address

450 NW Greenwood Avenue
Redmond, OR 97756-1550

Phone

(541) 923-0410

Fax

(541) 923-7393

NPI assigned

Oct 24, 2006

Last updated

Jul 26, 2007By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goulart Family Chiropractic Inc

  • Chiropractor
  • Bend, OR
  • NPI 1093993156
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1811071186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW GREENWOOD AVENUE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561550",
            "telephone_number": "541-923-0410",
            "fax_number": "541-923-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GREENWOOD AVENUE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561550",
            "telephone_number": "541-923-0410",
            "fax_number": "541-923-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "ANDREW",
        "credential": "PT COMT CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT L&I",
            "identifier": "0417432",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230558",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "J286802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Stokes Kleaveland, MD
• Tracy Helene Klein, LCSW
• Katherine Anne Klupenger, MS, SLP
• Erika Klyce
• Destiny Knocker, FNP
• Suzanne Knox, PT, CSCS
• Chad Koenig, LCSW
• Brigid Koeppen, LCSW
• Victoria Lee Konradson, LPN DM
• Jody Lynn Korepta, SPEECH THERAPIST

• Physical Therapist in Redmond, OR
• Providers in Redmond, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.