Healthcare Provider Details

I. General information

NPI: 1346170362
Provider Name (Legal Business Name): DR. COURTNEY KNOBLAUCH, PT, DPT, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 JIMMY BUFFETT MEMORIAL HWY SUITE 103
SATELLITE BEACH FL
32937
US

IV. Provider business mailing address

129 NE 3RD ST
SATELLITE BEACH FL
32937-2011
US

V. Phone/Fax

Practice location:
  • Phone: 561-779-7998
  • Fax:
Mailing address:
  • Phone: 561-779-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY KNOBLAUCH
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 561-779-7998