Kinetic Orthopedics

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KINETIC ORTHOPEDICS

Practice address

6002 N Westgate Blvd Ste 272
Tacoma, WA 98406-2571

Phone

(206) 234-6182

Fax

(253) 383-8386

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Todd Frederick Elstrom

Title

Member

Phone

(206) 234-6182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Joseph Keith Peterson, PH.D.

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1114074242
  NPD (past)

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1184922809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6002 N WESTGATE BLVD STE 272",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062571",
            "telephone_number": "206-234-6182",
            "fax_number": "253-383-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 N WESTGATE BLVD STE 272",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062571",
            "telephone_number": "206-234-6182",
            "fax_number": "253-383-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "ELSTROM",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-234-6182",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette N Kimemia, ARNP
• Marilyn Kimmerling, C.O.T.A.
• Michael B Kimmey, MD
• Jesalyn Noel Kimura, LMHC
• Christina Kindt, LMCHA
• Danielle NMN King-Butler
• Leia Florence King-Carr, M.A. MHP
• Angela Jane King, MA00015395
• Anna King, RN
• Charles Drake King, RN

• Durable Medical Equipment & Medical Supplies in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.