Marie A Knudson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160001204 Issued in IL

Practice address

201 E US Route 6
Morris, IL 60450-8967

Phone

(815) 416-0046

Fax

(815) 416-0150

NPI assigned

Mar 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1982928883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604508967",
            "telephone_number": "815-416-0046",
            "fax_number": "815-416-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON",
        "first_name": "MARIE",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara G Kijek, MD
• Mark A Kijek, MD SC
• Il Bong Kim, M.D.
• Lauren Kinney, DMD
• Joan Knox, LCPC
• Susan L Koeppe, C.N.P.
• Joseph S Kokoszka, MD
• Anita Joyce Korte, H.I.S. HEARING INSTR
• Samantha Koziol
• Bethany Lee Kremer, CCC-SLP

• Physical Therapy Assistant in Morris, IL
• Providers in Morris, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.