Provider Demographics
NPI:1225860851
Name:KNIGHT, JOSHUA EARL (DPT, PT)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EARL
Last Name:KNIGHT
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-2604
Mailing Address - Country:US
Mailing Address - Phone:843-726-6600
Mailing Address - Fax:843-717-2232
Practice Address - Street 1:10616 S JACOB SMART BLVD STE 104
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8478
Practice Address - Country:US
Practice Address - Phone:843-726-6600
Practice Address - Fax:843-717-2232
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC12527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist