Provider Demographics
NPI:1649385303
Name:KNIGHT, FEBIE P (PT)
Entity Type:Individual
Prefix:
First Name:FEBIE
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:P O 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 1:8225 A E MAIN ST
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-2604
Practice Address - Country:US
Practice Address - Phone:843-726-6600
Practice Address - Fax:843-717-2232
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSC3376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH1841Medicaid
SCTH1841Medicaid