Provider Demographics
NPI:1881432201
Name:KNAUS, JOHN THOMAS (OTR/L)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:KNAUS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1103 W 87TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2737
Mailing Address - Country:US
Mailing Address - Phone:816-826-8437
Mailing Address - Fax:
Practice Address - Street 1:2980 BALTIMORE AVE APT 2202
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-3428
Practice Address - Country:US
Practice Address - Phone:816-826-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-18
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015036493225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty