NPI Code Detail JSON Logo

1558212076 NPI number — JAYCE KNIGHT PT, DPT

NPI Number: 1558212076
Health Care Provider/Practitioner: JAYCE KNIGHT PT, DPT

Information about “1558212076” NPI (JAYCE KNIGHT PT, DPT) exists in 1558212076 in HTML format HTML  |  1558212076 in plain Text format TXT  |  1558212076 in PDF (Portable Document Format) PDF  |  1558212076 in an XML format XML  formats.

NPI Number : 1558212076 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1558212076",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KNIGHT",
    "FirstName": "JAYCE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6201 EP TRUE PKWY APT 8111",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST DES MOINES",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50266-5225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "641-990-5869",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1515 LINDEN ST STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DES MOINES",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50309-3120",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-288-0569",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/09/2026",
    "LastUpdateDate": "02/12/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "137117",
        "LicenseNumberStateCode": "IA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.