Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack McKnight, PT, DPT

Individual provider Physical Therapist · NPI 1104296581

Jack McKnight, PT, DPT is a Physical Therapist in Bend, Oregon. Practices as a sole proprietor. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

19712 Poplar St
Bend, OR 97702-9036
Phone: (951) 537-4424
Fax: (858) 279-5303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 62235 (OR)
Physical Therapist Taxonomy 225100000X · Licence PT 43134 (CA)

Record details

NPI number1104296581
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedSeptember 29, 2015
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024
Mailing address19712 Poplar St, Bend, OR 97702-9036

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