NPIMap

Organization Active NPI

Kinetica Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1043672066
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40587 Issued in CA
Legal business name
KINETICA PHYSICAL THERAPY INC
Practice address
5300 Woodmere Dr
Suite 105
Bakersfield, CA 93313-2796
Phone
(575) 441-4887
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Jupiter LabasanNPI 1699136507
Title
Ceo
Phone
(575) 441-4887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40587 CA Primary

Addresses

Primary practice location

5300 Woodmere Dr
Suite 105
Bakersfield, CA 93313-2796

Mailing address

5300 Woodmere Dr
Suite 105
Bakersfield, CA 93313-2796
Phone (575) 441-4887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1043672066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 WOODMERE DR",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132796",
            "telephone_number": "575-441-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WOODMERE DR",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132796",
            "telephone_number": "575-441-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETICA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "LABASAN",
        "authorized_official_first_name": "JUPITER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-441-4887"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "40587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.