Healthcare Provider Details

I. General information

NPI: 1902819600
Provider Name (Legal Business Name): BRIAN PAUL KNIGHT PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 01/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 BUNCOMBE ST
GREENVILLE SC
29601-1905
US

IV. Provider business mailing address

515 BUNCOMBE ST
GREENVILLE SC
29601-1905
US

V. Phone/Fax

Practice location:
  • Phone: 864-322-1025
  • Fax: 866-231-9826
Mailing address:
  • Phone: 864-322-1025
  • Fax: 866-231-9826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number3823
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: