Kinective Fitness Club LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINECTIVE FITNESS CLUB LLC

Practice address

1020 Belvidere St
El Paso, TX 79912-2426

Phone

(915) 260-9895

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Kercher, PT, DPTNPI 1659025740

Title

Physical Therapist

Phone

(915) 260-9895

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen A Kercher, PT, DPT

  • Physical Therapist
  • Frisco, TX
  • NPI 1659025740
  Medicare reassignment NPD Authorized official
• Matthew Hughes, PT, DPT

  • Physical Therapist
  • Dallas, TX
  • NPI 1740671510
  Medicare reassignment NPD

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1164137832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122426",
            "telephone_number": "915-260-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 BELVIDERE ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799122426",
            "telephone_number": "915-260-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINECTIVE FITNESS CLUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "KERCHER",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "915-260-9895",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Warren Kimmel, NP
• Kin Wong (Southwestern Emergency Physicians Group)
• Harry O Kincaid Jr., LCSW, ASOTP
• Kind Roots Healthcare Services of El Paso LLC
• Brenda Kinderman
• Dominic Ryan King-Salopek
• Barry G King, MD
• Clinton Allen King, MD
• David Benjamin King
• Kingsway Medical Center PLLC

• Physical Therapy Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.