Active NPI
Kneaded Therapy, Inc
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Ft. Lauderdale, FL
National Provider Identifier
1063997260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- KNEADED THERAPY, INC
- Practice address
- 2746 E Commerical Blvd.
Ft. Lauderdale, FL 33308 - Phone
- (954) 772-2977
- Fax
- (954) 772-2928
- NPI assigned
- Oct 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kristen Trujillo, LMT
- Title
- Owner/LMT
- Phone
- (954) 772-2977
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X |
Addresses
Primary practice location
2746 E Commerical Blvd.
Ft. Lauderdale, FL 33308
Mailing address
2746 E Commerical Blvd.
Ft. Lauderdale, FL 33308
Phone (954) 772-2977
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538524800000",
"number": "1063997260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2746 E COMMERICAL BLVD.",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-772-2977",
"fax_number": "954-772-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2746 E COMMERICAL BLVD.",
"city": "FT. LAUDERDALE",
"state": "FL",
"postal_code": "33308",
"telephone_number": "954-772-2977",
"fax_number": "954-772-2928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNEADED THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A",
"authorized_official_last_name": "TRUJILLO",
"authorized_official_first_name": "KRISTEN",
"authorized_official_title_or_position": "OWNER/LMT",
"authorized_official_telephone_number": "954-772-2977",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "2081N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.