Kinetic Rehab Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINETIC REHAB INC

Practice address

13349 SW 122ND Ave
Miami, FL 33186-6544

Phone

(786) 201-1703

Fax

(786) 573-3619

NPI assigned

Feb 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura CastroviejoNPI 1619216561

Title

Secretary Director

Phone

(786) 201-1703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Fernanda Castroviejo

  • Physical Therapist
  • Miami, FL
  • NPI 1619216561
  Medicare reassignment NPD Authorized official
• Alejandro Coren, PT

  • Physical Therapist
  • Miami, FL
  • NPI 1508290867
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1003155961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13349 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866544",
            "telephone_number": "786-201-1703",
            "fax_number": "786-573-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13349 SW 122ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866544",
            "telephone_number": "786-201-1703",
            "fax_number": "786-573-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "CASTROVIEJO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SECRETARY DIRECTOR",
        "authorized_official_telephone_number": "786-201-1703"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinesis MD LLC
• Kinesthetic Psychiatry
• Kinetic Kickoff LLC
• Kinetic Kickoff LLC
• Kinetic Kids, Inc
• Kinetic Rehabilitation Corp
• Kinetiq Rehabilitation, P.a.
• King Home Health Services Corp
• King Spray
• King Velizar Services Inc

• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.