Kinetic PT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINETIC PT LLC

Practice address

910 Bent Oak CT
Lake St Louis, MO 63367-1473

Phone

(636) 206-4909

NPI assigned

May 7, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Phillips, DPTNPI 1710224324

Title

Physical Therapist/Owner

Phone

(636) 206-4909

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.

• Rachel Phillips, DPT

  • Physical Therapist
  • Kirkwood, MO
  • NPI 1710224324
  NPD Authorized official

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1316795313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SPRING WOOD DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 BENT OAK CT",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671473",
            "telephone_number": "636-206-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "636-206-4909",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Juskenas, DPT, PT
• Gihan A Kader, MD
• Claire Kelly
• Lindsay Kilwin
• Kimberly C Berni MD LLC
• Heather Lynn Kinsey, M.S.,CCC-SLP
• Kirks Eye Center, PC
• Marissa Kistner, M.ED., LPC
• Kathleen M. Kloeckner, ANP-BC
• Michelle J. Koerner, MED, LPC

• Physical Therapist in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.