Organization Active NPI

Kinetix Professional Management, Inc.

  • Physical Therapy Clinic/Center
  • Elmhurst, NY
National Provider Identifier
1376951822
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
31626 Issued in NY
Legal business name
KINETIX PROFESSIONAL MANAGEMENT, INC.
Practice address
8716 Queens Blvd
Elmhurst, NY 11373-4419
Phone
(646) 707-1957
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Rox Joacuin Lukas, DPTNPI 1376858514
Title
President
Phone
(646) 707-1957

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 31626 NY Primary

Addresses

Primary practice location

8716 Queens Blvd
Elmhurst, NY 11373-4419

Mailing address

13324 Sanford Ave Apt 9E
Flushing, NY 11355-3624
Phone (646) 707-1957

National Provider Directory

National Provider Directory
Tax ID family
Kinetix Professional Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1376951822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 SANFORD AVE APT 9E",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553624",
            "telephone_number": "646-707-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8716 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734419",
            "telephone_number": "646-707-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PROFESSIONAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "LUKAS",
        "authorized_official_first_name": "ROX",
        "authorized_official_middle_name": "JOACUIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-707-1957",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "31626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.