Kinetic Orthotics, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KINETIC ORTHOTICS, INC.

Practice address

3958 Rose Ave
Western Springs, IL 60558-1032

Phone

(708) 246-9249

Fax

(708) 246-9249

NPI assigned

Nov 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph SkertichNPI 1558373175

Title

President

Phone

(708) 246-9249

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joseph Skertich

  • Orthotist
  • Western Springs, IL
  • NPI 1558373175
  NPD (past) Authorized official

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1104007137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 ROSE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581032",
            "telephone_number": "708-246-9249",
            "fax_number": "708-246-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3958 ROSE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581032",
            "telephone_number": "708-246-9249",
            "fax_number": "708-246-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC ORTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SKERTICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-246-9249",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kelly, CCC-SLP
• Adraniece Kemp
• Kenneth J. Szafranski, DDS, LTD Matthew S. Van Beek, DDS
• Jeremy Kilpatrick, BA
• Kyu Yup Kim, MHP
• Daniel Joseph King, P.T.
• Timothy Dale Kisner, M.P.T.
• Angelica Kladis
• Vanesa Klimunda, MS
• Mary Kay Knight

• Customized Equipment (DME) in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.