Individual provider Active NPI

Brent S. Knight, P.T., O.M.P.T

  • Physical Therapist
  • Potsdam, NY
National Provider Identifier
1972667533
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013547-1 Issued in NY
Practice address
14 Garfield Rd
Potsdam, NY 13676-3480
Phone
(315) 265-7917
Fax
(315) 265-5437
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013547-1 NY Primary
Orthopedic Physical Therapist 2251X0800X 013547-1

Addresses

Primary practice location

14 Garfield Rd
Potsdam, NY 13676-3480

Mailing address

14 Garfield Rd
P.O. Box 547
Potsdam, NY 13676-3480
Phone (315) 265-7917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000531 NY Practitioner - Physical Therapist in Private Practice 4284600727 Receives reassigned benefits from 3 practitioners
Practice locations: Potsdam, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Garfield Rd
Potsdam, NY 13676-3480
Phone (315) 265-7917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013547-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent S. Knight - Knight & Associates Physical Therapy Physical Therapist PastSince Aug 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: knightb68@hiemail.healtheconnections.org

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1972667533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 GARFIELD RD",
            "address_2": "P.O. BOX 547",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763480",
            "telephone_number": "315-265-7917",
            "fax_number": "315-265-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 GARFIELD RD",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763480",
            "telephone_number": "315-265-7917",
            "fax_number": "315-265-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "BRENT",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "P.T., O.M.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013547-1",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": "013547-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.