Kinetic Prosthetics

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Legal business name

KINETIC PROSTHETICS

Practice address

903 Broadway St
Delhi, LA 71232-3401

Phone

(318) 488-5057

Fax

(318) 488-5055

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Tay'NA Williams

Title

Owner

Phone

(601) 702-9133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1366286387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323401",
            "telephone_number": "318-488-5057",
            "fax_number": "318-488-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BROADWAY ST",
            "city": "DELHI",
            "state": "LA",
            "postal_code": "712323401",
            "telephone_number": "318-488-5057",
            "fax_number": "318-488-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAY'NA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-702-9133"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Johnson, LPC
• Brittany Joiner, FNP
• Shantika Jones
• Katie Federick Kavanaugh, LCSW
• Jan Michelle Kelly, BLSW
• Karen L King
• Ah'Yana Knight
• Dung N. Le, M.D.
• Mary Trahan Lively, LDN, RD
• Tonie London

• Rehabilitation Counselor in Delhi, LA
• Providers in Delhi, LA by specialty
• Rehabilitation Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.