Provider Demographics
NPI:1588891808
Name:KNOX, THOMAS LEE (DPT, SCS, CSCS)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:LEE
Last Name:KNOX
Suffix:
Gender:M
Credentials:DPT, SCS, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 25TH ST NW
Mailing Address - Street 2:APT 605
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1166
Mailing Address - Country:US
Mailing Address - Phone:202-770-6804
Mailing Address - Fax:
Practice Address - Street 1:601 F ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-1605
Practice Address - Country:US
Practice Address - Phone:202-770-6804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA004647225100000X
TX1205472225100000X
IN05009889A225100000X
FL27116225100000X
DCPT8715722251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist