Active NPI
Kinetic Prosthetics
- Prosthetic/Orthotic Supplier
- West Chester, PA
National Provider Identifier
1093554750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Prosthetics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Prosthetic/Orthotic Supplier
- West Chester, PA
- NPI 1750727939
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.