Organization Active NPI

Kinetic Wellness Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1114441532
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KINETIC WELLNESS CENTER, LLC
Practice address
7707 Fannin St Ste 154
Houston, TX 77054-1918
Phone
(832) 727-5056
Fax
(713) 501-8933
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Sebastian Calvo, CMANPI 1700313103
Title
Partner/Manager
Phone
(832) 727-5056

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 Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

7707 Fannin St Ste 154
Houston, TX 77054-1918

Mailing address

7707 Fannin St Ste 154
Houston, TX 77054-1918
Phone (832) 727-5056

National Provider Directory

National Provider Directory

Locations

7707 Fannin St
Ste 154
Houston, TX 77054
Phone (832) 727-5056

Practitioners & affiliated clinicians

Practitioners 1

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114441532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541918",
            "telephone_number": "832-727-5056",
            "fax_number": "713-501-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 FANNIN ST STE 154",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541918",
            "telephone_number": "832-727-5056",
            "fax_number": "713-501-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALVO",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PARTNER/MANAGER",
        "authorized_official_telephone_number": "832-727-5056",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.