Kathleen Knauf, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00240700 Issued in NJ

Practice address

2080 NJ 35 #1
Holmdel, NJ 07733

Phone

(732) 241-3725

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1851927628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 PHILADELPHIA BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087502504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 NJ 35 #1",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "07733",
            "telephone_number": "732-241-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUF",
        "first_name": "KATHLEEN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MT00240700",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00240700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF EMPLOYED",
            "identifier": "2565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELF INSURED",
            "identifier": "2565",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chong S Kim, M.D.
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• Lindsey Kirdahy
• Daria Klemick
• Knok Management
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• Kodiak Physical Therapy LLC (Kodiak Physical Therapy)
• Sowmini Kommireddi
• Kotiyark Inc (Bayshore Homecare Pharmacy)

• Athletic Trainer in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.