Kelly S Knowles, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4018 Issued in AL

Practice address

200 Medical St
Snead, AL 35952

Phone

(205) 359-2850

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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.

• Impact Therapy, Inc

  • Physical Therapy Clinic/Center
  • Snead, AL
  • NPI 1073916292

  AL

  Medicare reassignment NPD Authorized official
• Champion Rehab Resources, LLC

  • Physical Therapist
  • Vestavia, AL
  • NPI 1003437906
  NPD (past)
• Prohealth Physical Therapy

  • Physical Therapist
  • Fort Payne, AL
  • NPI 1710177829
  NPD (past)
• Prohealth Physical Therapy, LLC

  • Local Education Agency (LEA)
  • Fort Payne, AL
  • NPI 1013114065

  Physical Therapist

  NPD (past)
• Therapy Resources,LLC

  • Physical Therapist
  • Gadsden, AL
  • NPI 1639289812
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2019.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1851326540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL ST",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "359526593",
            "telephone_number": "205-359-2850",
            "fax_number": "205-453-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL ST",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "35952",
            "telephone_number": "205-359-2850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Owens St",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359044938",
            "country_code": "US",
            "telephone_number": "256-543-1030",
            "fax_number": "256-439-2830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51531136",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gana Holdings, LLC
• Mary Katherine Gentry
• William Leonard Gibson, MD
• Impact Therapy, Inc
• John M Gentry
• Lauren Loveless, CRNP
• Patriot Dental Snead LLC
• Branden D Sims, CRNP
• David L Skees, D.M.D
• Bethany Jeannine Tucker, NURSE PRACTITIONER

• All providers in Snead, AL
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.

Verify at the official NPI Registry.