Kinetik Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINETIK PHYSICAL THERAPY INC

Practice address

23382 Madero Ste a
Mission Viejo, CA 92691-2782

Phone

(949) 464-4009

NPI assigned

Jul 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Wayne Kapka, PT, DPTNPI 1508374893

Title

Owner, Cfo

Phone

(619) 733-8953

Specialties & licenses 5

Addresses

Other names 1

• Kinetik Performance and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kapka, DPT

  • Physical Medicine & Rehabilitation Physician
  • Mission Viejo, CA
  • NPI 1508374893
  Medicare reassignment Care Compare group NPD Authorized official
• Ellen Dale, PT, DPT

  • Physical Therapist
  • Corona del Mar, CA
  • NPI 1376702373
  Medicare reassignment Care Compare group NPD
• Claire Keenan

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1821820119
  Medicare reassignment Care Compare group NPD
• Alex Jesse Kirkpatrick, PT, DPT

  • Physical Therapist
  • Mission Viejo, CA
  • NPI 1447759618
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1396478616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23382 MADERO STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912782",
            "telephone_number": "949-464-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23382 MADERO STE A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912782",
            "telephone_number": "949-464-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIK PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "KAPKA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER, CFO",
        "authorized_official_telephone_number": "619-733-8953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetik Performance and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kinetik Performance and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Minji Kim, FNP-C
• Sarah Soon Kim
• Scarlet Kim, DDS
• Thomas Benedict Kim, R.N.
• Katie Lam Kimpau
• Christopher Todd King
• Frank J King, MD
• Stacey White Kinney, LMFT
• Kirchner Chiropractic Inc
• Scott Michael Kirchner, D.C.

• Physical Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.