Provider Demographics
NPI:1700035441
Name:KNAPP, JASON D (PT)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:D
Last Name:KNAPP
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10592 LONGVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6164
Mailing Address - Country:US
Mailing Address - Phone:216-712-5000
Mailing Address - Fax:
Practice Address - Street 1:9824 WASHINGTON ST
Practice Address - Street 2:SUITE 3
Practice Address - City:CHAGRIN FALLS
Practice Address - State:OH
Practice Address - Zip Code:44023-5455
Practice Address - Country:US
Practice Address - Phone:216-712-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH011358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist