Provider Demographics
NPI:1730165077
Name:KNIGHT, CAROLINE PARSON (OT)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:PARSON
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-8930
Mailing Address - Fax:423-254-5217
Practice Address - Street 1:2817 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3216
Practice Address - Country:US
Practice Address - Phone:423-586-4810
Practice Address - Fax:423-586-4811
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2018-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2734225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00104738OtherRAIL ROAD MEDICARE
TN3655566Medicaid
TN4004539OtherBLUE CROSS BLUE SHIELD
TN3655566Medicare ID - Type Unspecified
TN103I674681Medicare PIN