Kinesis Physical Therapy and Performance

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINESIS PHYSICAL THERAPY AND PERFORMANCE

Practice address

40440 Grand River Ave Ste D
Novi, MI 48375-2873

Phone

(248) 957-9430

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Ryan Tisdall, DPTNPI 1871994046

Title

Owner/Physical Therapist

Phone

(248) 957-9430

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ryan Tisdall, DPT

  • Physical Therapist
  • Novi, MI
  • NPI 1871994046
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1114513033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40440 GRAND RIVER AVE STE D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752873",
            "telephone_number": "248-957-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40440 GRAND RIVER AVE STE D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752873",
            "telephone_number": "248-957-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS PHYSICAL THERAPY AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "TISDALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "248-957-9430",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Michelle Kimball
• Milleena Kimber
• Kind Angels Assistance Living Services, Corp.
• McKenna Kindel
• Kindnest Home Care LLC
• Alexis King
• Amanda Nicole King, MD
• April King
• Chelsea N King
• Jacob King

• Physical Therapy Clinic/Center in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.