NPIMap

Organization Active NPI

Kinetic Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Chester Springs, PA
National Provider Identifier
1326132820
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT016366 Issued in PA
Legal business name
KINETIC PHYSICAL THERAPY, LLC
Practice address
163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone
(610) 458-6464
Fax
(610) 458-6465
NPI assigned
Oct 2, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Darren Rodia, PTNPI 1669577441
Title
Physical Therapist
Phone
(610) 458-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT016366 PA Primary

Addresses

Primary practice location

163 Pottstown Pike
Chester Springs, PA 19425-9518

Mailing address

163 Pottstown Pike
Chester Springs, PA 19425-9518
Phone (610) 458-6464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061103000128 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1456358571 Receives reassigned benefits from 37 practitioners
Practice locations: Media, PA; West Chester, PA; Phoenixville, PA; Havertown, PA; Exton, PA; Elverson, PA; Downingtown, PA; Collegeville, PA…

National Provider Directory

National Provider Directory

Locations

623 Conchester Hwy
Boothwyn, PA 19061

241 Plaza Dr
Collegeville, PA 19426
Phone (610) 831-5205

1426 Marshallton Thorndale Rd
Downingtown, PA 19335
Phone (610) 380-5091

51 S Pine St
Elverson, PA 19520
Phone (610) 901-3000

640 Rice Blvd
Ste 103
Exton, PA 19341

1299 W Baltimore Pike
Media, PA 19063

400 E Pothouse Rd
Phoenixville, PA 19460

1130 McDermott Dr
West Chester, PA 19380
Phone (610) 430-3545

Practitioners & affiliated clinicians

Practitioners 41

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.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1326132820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259518",
            "telephone_number": "610-458-6464",
            "fax_number": "610-458-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 POTTSTOWN PIKE",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259518",
            "telephone_number": "610-458-6464",
            "fax_number": "610-458-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "RODIA",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "610-458-6464",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT016366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.