KNICLEY SE LLC NPI 1619480258

NPI Information

  • NPI: 1619480258
  • Provider Name: KNICLEY SE, LLC
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Doing Business As: STRUCTURAL ELEMENTS
  • Address: 3540 SUGARLOAF PKWY STE D03
    FREDERICK, MD
    ZIP 21704
  • Phone: (301) 992-6797

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NPI Details

KNICLEY SE, LLC is an orthopedic physical therapist in Frederick, MD. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. KNICLEY SE, LLC NPI is 1619480258. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Structural Elements.

The provider's business location address is:

3540 SUGARLOAF PKWY STE D03
FREDERICK, MD
ZIP 21704-901
Phone: (301) 992-6797

The provider's authorized official is Jason Knicley .
The authorized official title is Pt, Owner, Operator and has the following contact phone number (301) 992-6797.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedic23476MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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