Jacob Knierim, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP043576T Issued in NC

Practice address

3108 Raeford Rd Ste 100
Fayetteville, NC 28303-6037

Phone

(910) 484-2091

NPI assigned

Aug 20, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, NC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Fear Valley Health Medical Group LLCGroup PAC ID 0648707109, 352 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cape Fear Valley Health Medical Group LLC

  • Orthopaedic Surgery Physician
  • Fayetteville, NC
  • NPI 1235957655
  Medicare reassignment Care Compare group
• Advanced Physical Therapy Solutions LLC

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1467405019
  Medicare reassignment NPD
• Country Roads Physical Therapy and Rehabilitation

  • Physical Therapist
  • Fairmont, WV
  • NPI 1831147297
  Medicare reassignment NPD
• Ir Rehab PC

  • Rehabilitation Clinic/Center
  • Killeen, TX
  • NPI 1245785146
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1972083731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 RAEFORD RD STE 100",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036037",
            "telephone_number": "910-484-2091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Fordham Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIERIM",
        "first_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP043576T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1359057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penny Klibert
• Kristin Deann Kline, PT, DPT
• KMS Legacy, LLC
• Faye A Knauss, PSYD
• Savannah Leigh Knepper, PHARMD
• Darius Knight, FNP-C
• Kashia Knight
• Helen Knoche Knoche, PHARMD
• Celestine Knowlton, LPN
• Knox Comforting Angels

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.