NPIMap

Organization Active NPI

Proven Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Woodbine, IA
National Provider Identifier
1902596562
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PROVEN PHYSICAL THERAPY, PLLC
Practice address
601 Snyder Rd
Woodbine, IA 51579-1123
Phone
(712) 318-1919
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Dr. Marissa Kay Knott, DPTNPI 1366044893
Title
Physical Therapist
Phone
(712) 318-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

601 Snyder Rd
Woodbine, IA 51579-1123

Mailing address

2417 Easton TRL
Pisgah, IA 51564-4029
Phone (712) 318-1919

Other practice location 1

2417 Easton Trl
Pisgah, IA 51564-4029
Phone (712) 318-1919

National Provider Directory

National Provider Directory

Locations

601 Snyder Rd
Woodbine, IA 51579
Phone (712) 318-1919

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1902596562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 EASTON TRL",
            "city": "PISGAH",
            "state": "IA",
            "postal_code": "515644029",
            "telephone_number": "712-318-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SNYDER RD",
            "city": "WOODBINE",
            "state": "IA",
            "postal_code": "515791123",
            "telephone_number": "712-318-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 Easton Trl",
            "address_purpose": "LOCATION",
            "city": "Pisgah",
            "state": "IA",
            "postal_code": "515644029",
            "country_code": "US",
            "telephone_number": "712-318-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROVEN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "KNOTT",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "712-318-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbine, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.