Organization Active NPI

Kinetic Plus, LTD

  • Physical Therapy Clinic/Center
  • Spring, TX
National Provider Identifier
1275720385
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KINETIC PLUS, LTD
Practice address
16328 Stuebner Airline Rd
Spring, TX 77379-7332
Phone
(281) 370-0868
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mr. Paul Sison, P.T.NPI 1902029101
Title
Director
Phone
(281) 370-0868

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 Therapy Clinic/Center 261QP2000X TX Primary

Addresses

Primary practice location

16328 Stuebner Airline Rd
Spring, TX 77379-7332

Mailing address

16328 Stuebner Airline Rd
Spring, TX 77379-7332
Phone (281) 370-0868

Other identifiers 1

IdentifierTypeStateIssuer
0024AWOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Kinetic Plus Rehab Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050120000114 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870542541 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

National Provider Directory

National Provider Directory

Locations

16328 Stuebner Airline Rd
Spring, TX 77379
Phone (281) 370-0868

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1275720385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16328 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797332",
            "telephone_number": "281-370-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16328 STUEBNER AIRLINE RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797332",
            "telephone_number": "281-370-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PLUS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-370-0868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0024AW",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Plus Rehab Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.