Active NPI
Kinetix Fitness Therapy
- Sports Physical Therapist
- Las Vegas, NV
National Provider Identifier
1356772610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Legal business name
- KINETIX FITNESS THERAPY
- Practice address
- 848 N Rainbow Blvd
Suite 156
Las Vegas, NV 89107-1103 - Phone
- (928) 201-6660
- NPI assigned
- Dec 11, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Sanchez
- Title
- Member
- Phone
- (928) 201-6660
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | |||
| Physical Therapist | 225100000X | |||
| Sports Physical Therapist | 2251S0007X | Primary | ||
| Athletic Trainer | 2255A2300X | |||
| Kinesiotherapist | 226300000X |
Addresses
Primary practice location
848 N Rainbow Blvd
Suite 156
Las Vegas, NV 89107-1103
Mailing address
848 N Rainbow Blvd
Suite 156
Las Vegas, NV 89107-1103
Phone (928) 201-6660
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386720000000",
"number": "1356772610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD",
"address_2": "SUITE 156",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "928-201-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 N RAINBOW BLVD",
"address_2": "SUITE 156",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891071103",
"telephone_number": "928-201-6660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINETIX FITNESS THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-11",
"last_updated": "2013-12-11",
"status": "A",
"authorized_official_last_name": "SANCHEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "928-201-6660"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietary Manager",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "226300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Kinesiotherapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.