Kinetic Sports Medicine and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

14121-24 Issued in WI

Legal business name

KINETIC SPORTS MEDICINE AND PERFORMANCE LLC

Practice address

405 Genesee St
Delafield, WI 53018-1814

Phone

(262) 337-9331

NPI assigned

Apr 14, 2018

Organization subpart

No

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

Authorized official

Name

Michael Falk, PT, DPT, ATCNPI 1396265096

Title

Owner, President

Phone

(214) 687-6775

Specialties & licenses 1

Addresses

Other names 1

• Kinetic Sports Medicine and Performance Doing business as

Locations

Practitioners 3

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

• Michael Falk, PT, DPT, ATC

  • Physical Therapist
  • Delafield, WI
  • NPI 1396265096
  NPD Authorized official
• Brett Ferstl, PT

  • Physical Therapist
  • Delafield, WI
  • NPI 1679189906
  NPD (past)
• Hannah Jaye Greving

  • Physical Therapist
  • Delafield, WI
  • NPI 1225918667
  NPD (past)

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1083101117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N29W29682 FRANCISCAN RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GENESEE ST",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "530181814",
            "telephone_number": "262-337-9331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 S 72nd St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532141558",
            "country_code": "US",
            "telephone_number": "262-337-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINETIC SPORTS MEDICINE AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "FALK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "214-687-6775",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WI",
            "license": "14121-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Sports Medicine and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Andrew Physical Therapy
• Katie Andrew Physical Therapy
• Michelle J Kelly, D.D.S.
• Kettle Moraine Health Center, S.C.
• Thomas E Kielma, D.D.S.
• Carrie Jo Klay, P.T.A.
• Mark R Knutson, DDS
• Emily Kolaga, PT, DPT, CSCS, CKTP
• Mary Krienke, PT
• Lake Country Cardiovascular Associates LTD

• Physical Therapy Clinic/Center in Delafield, WI
• Providers in Delafield, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.