Organization Active NPI

Kinetx Therapy Inc

  • Physical Therapist
  • Moreno Valley, CA
National Provider Identifier
1225416803
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40888 Issued in CA
Legal business name
KINETX THERAPY INC
Practice address
26357 Okeefe LN
Moreno Valley, CA 92555-2547
Phone
(909) 539-5137
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Cristina Dela CruzNPI 1003294505
Title
Ceo
Phone
(909) 539-5137

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40888 CA Primary

Addresses

Primary practice location

26357 Okeefe LN
Moreno Valley, CA 92555-2547

Mailing address

26357 Okeefe LN
Moreno Valley, CA 92555-2547

National Provider Directory

National Provider Directory

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": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1225416803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26357 OKEEFE LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26357 OKEEFE LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925552547",
            "telephone_number": "909-539-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETX THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-539-5137"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.