Healthcare Provider Details

I. General information

NPI: 1508792250
Provider Name (Legal Business Name): ALLISON KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 UNIVERSITY BLVD RM 4175
INDIANAPOLIS IN
46202-5149
US

IV. Provider business mailing address

1520 E 58TH ST
INDIANAPOLIS IN
46220-2783
US

V. Phone/Fax

Practice location:
  • Phone: 317-944-0334
  • Fax:
Mailing address:
  • Phone: 574-850-5208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05011837A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: