Organization Active NPI

Kinetic Prosthetics

  • Prosthetic/Orthotic Supplier
  • West Chester, PA
National Provider Identifier
1093554750
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KINETIC PROSTHETICS
Practice address
1584 Paoli Pike
West Chester, PA 19380-6107
Phone
(610) 701-8266
NPI assigned
May 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Mark Nielsen
Title
Manager
Phone
(610) 701-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1584 Paoli Pike
West Chester, PA 19380-6107

Mailing address

1584 Paoli Pike
West Chester, PA 19380-6107

National Provider Directory

National Provider Directory
Tax ID family
Kinetic Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1584 Paoli Pike
West Chester, PA 19380
Phone (610) 701-8266

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1093554750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806107",
            "telephone_number": "610-701-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-701-8266"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.