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Deactivated NPI 1639145154 Deactivated / Inactive NPI Male Practitioner

Joel C Knickerbocker , RPT

Physical Therapist • Dade City, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Joel Knickerbocker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 24, 2006
NPI Deactivation Date March 13, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Joel Knickerbocker, RPT was a registered Physical Therapist practicing in Dade City, FL. Throughout an active medical career spanning 19 years, Joel Knickerbocker provided care at the practice location at 37104 CLINTON AVE until profile deactivation on 2025-03-13.

Practice Location & Contact Primary Location

Practice Address

37104 Clinton Ave

Dade City, FL 335255911

Telephone 3525210002
Fax 3525215958
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Dade City, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Dade City, FL (14601 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT0003564

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 13, 2025

Record deactivated on March 13, 2025

NPI Profile Active November 20, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 20, 2009

Registered at 37104 CLINTON AVE, DADE CITY, FL 335255911 (Tel: 3525210002)

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Updated Business Mailing Address November 20, 2009

Registered at PO BOX 1001, DADE CITY, FL 335261001 (Tel: 3525210002)

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Provider Name / Credentials Updated November 20, 2009

Recorded as JOEL KNICKERBOCKER, RPT

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2009

Physical Therapist (License #PT0003564 in FL)

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Initial NPI Registration & Enumeration February 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639145154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2006
Last Update: November 20, 2009
Deactivation Date: March 13, 2025

Mailing Address

Po Box 1001

Dade City, FL 335261001

Phone: 3525210002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.