NPIMap

Organization Active NPI

Kinetix Physical Therapy

  • Physical Therapist
  • Newberry, FL
National Provider Identifier
1083313209
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINETIX PHYSICAL THERAPY
Practice address
13559 NW 1St LN
Newberry, FL 32669-3473
Phone
(352) 505-6665
Fax
(352) 226-8744
NPI assigned
Feb 27, 2023
Organization subpart
Yes
Parent organization
KINETIX PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Authorized official

Name
Melissa Renee Cere, PT, DPTNPI 1942372982
Title
Owner, Doctor of Physical Therapy
Phone
(352) 505-6665

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

13559 NW 1St LN
Newberry, FL 32669-3473

Mailing address

2839 SW 87TH Dr
Gainesville, FL 32608-9376
Phone (352) 505-6665

National Provider Directory

National Provider Directory
Tax ID family
Kinetix Physical Therapy2 organizations share this tax ID, including this one
Part of
Kinetix Physical Therapy

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13559 NW 1st Ln
Newberry, FL 32669
Phone (352) 505-6665

Practitioners & affiliated clinicians

Practitioners 11

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": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1083313209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089376",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13559 NW 1ST LN",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693473",
            "telephone_number": "352-505-6665",
            "fax_number": "352-226-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINETIX PHYSICAL THERAPY",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "CERE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER, DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "352-505-6665",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.