NPIMap

Organization Active NPI

Kinesthetic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
National Provider Identifier
1023430204
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT008203 Issued in GA
Legal business name
KINESTHETIC PHYSICAL THERAPY, LLC
Practice address
3850 Canton Rd
Building 100/Suite 1114
Marietta, GA 30066-2608
Phone
(678) 516-0895
Fax
(678) 281-7658
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Mrs. Christina Noel Sims, MPTNPI 1649349580
Title
Physical Therapist/Owner
Phone
(678) 516-0895

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT008203 GA Primary

Addresses

Primary practice location

3850 Canton Rd
Building 100/Suite 1114
Marietta, GA 30066-2608

Mailing address

3850 Canton Rd
Building 100/Suite 1114
Marietta, GA 30066-2608
Phone (678) 516-0895

Other identifiers 1

IdentifierTypeStateIssuer
202I656707OtherMEDICARE

National Provider Directory

National Provider Directory

Locations

3850 Canton Rd
Ste 1114
Marietta, GA 30066
Phone (678) 516-0895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1023430204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 CANTON RD",
            "address_2": "BUILDING 100/SUITE 1114",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662608",
            "telephone_number": "678-516-0895",
            "fax_number": "678-281-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 CANTON RD",
            "address_2": "BUILDING 100/SUITE 1114",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662608",
            "telephone_number": "678-516-0895",
            "fax_number": "678-281-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESTHETIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "678-516-0895",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT008203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I656707",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.