Individual provider Active NPI

Nikita Kalinoski, DPT

  • Physical Therapist
  • North Port, FL
National Provider Identifier
1396304861
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34605 Issued in FL
Practice address
2530 Bobcat Village Center Rd Unit C
North Port, FL 34288-8475
Phone
(941) 426-7400
Fax
(941) 426-7044
NPI assigned
Jun 10, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34605 FL Primary

Addresses

Primary practice location

2530 Bobcat Village Center Rd Unit C
North Port, FL 34288-8475

Mailing address

2530 Bobcat Village Center Rd Unit C
North Port, FL 34288-8475
Phone (941) 426-7400

Other practice location 1

2828 S McCall Rd Ste 25
Englewood, FL 34224-9517
Phone (941) 474-2700

Other practice location 2

530 E Olympia Ave Ste 112
Punta Gorda, FL 33950-3838
Phone (941) 575-7300

Other practice location 3

4161 Tamiami Trl Ste 103
Port Charlotte, FL 33952-9204
Phone (941) 743-6700

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rlopez@fitnessquestpt.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731001593 FL Practitioner - Physical Therapist in Private Practice 6204162027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34605FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Florida LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients
Fitness Quest - Venice LLC Physical Therapist PastSince Jun 1, 2019 Accepting new patients
Venice Rehab, LLC Physical Therapist Past Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1396304861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 BOBCAT VILLAGE CENTER RD UNIT C",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888475",
            "telephone_number": "941-426-7400",
            "fax_number": "941-426-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BOBCAT VILLAGE CENTER RD UNIT C",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888475",
            "telephone_number": "941-426-7400",
            "fax_number": "941-426-7044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 S McCall Rd Ste 25",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "FL",
            "postal_code": "342249517",
            "country_code": "US",
            "telephone_number": "941-474-2700",
            "fax_number": "941-474-8081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 E Olympia Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503838",
            "country_code": "US",
            "telephone_number": "941-575-7300",
            "fax_number": "941-505-7301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4161 Tamiami Trl Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339529204",
            "country_code": "US",
            "telephone_number": "941-743-6700",
            "fax_number": "941-743-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALINOSKI",
        "first_name": "NIKITA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rlopez@fitnessquestpt.com",
            "affiliation": "N",
            "address_1": "2530 Bobcat Village Center Rd Unit C",
            "city": "North Port",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342888475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.