Kneetix Mobile Pain Therapy

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

268111 Issued in NY

Legal business name

KNEETIX MOBILE PAIN THERAPY

Practice address

2732 Roods Creek Rd BLDG 27
Hancock, NY 13783-1861

Phone

(434) 420-0466

NPI assigned

May 7, 2018

Last updated

Oct 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jemille Smith, MDNPI 1457550071

Title

Ceo

Phone

(434) 420-0466

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jemille Smith, MD

  • General Practice Physician
  • Bronx, NY
  • NPI 1457550071
  NPD Authorized official

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1891284618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 ROODS CREEK RD BLDG 27",
            "city": "HANCOCK",
            "state": "NY",
            "postal_code": "137831861",
            "telephone_number": "434-420-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 ROODS CREEK RD BLDG 27",
            "city": "HANCOCK",
            "state": "NY",
            "postal_code": "137831861",
            "telephone_number": "434-420-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEETIX MOBILE PAIN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-07",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-420-0466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "268111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Bilqees Healthcare Solutions
• E.M. Gotthardt, LCSW, PLLC (First Star Psychotherapy)
• Education Plus Corp (The Family Foundation School)
• Hancock Central School District
• Interim Healthcare
• Lakeview DME Inc
• Megan Llewellyn, PHARM.D.
• Connor James Mario Mack, PHARMD
• Mohammad Zakaria Majeed, M.D.
• Bette-Lou Mead, L.P.N.

• Primary Care Clinic/Center in Hancock, NY
• Providers in Hancock, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; 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.