Provider Demographics
NPI:1003968173
Name:KNIGHT, MARIA P (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:P
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MERCHANTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-2038
Mailing Address - Country:US
Mailing Address - Phone:856-910-0495
Mailing Address - Fax:856-665-5731
Practice Address - Street 1:107 W MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MERCHANTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08109
Practice Address - Country:US
Practice Address - Phone:856-910-0495
Practice Address - Fax:856-910-0193
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00362900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
044873Medicare ID - Type Unspecified