Organization Active NPI

Kinesis a Center for Integrated Living

  • Physical Therapy Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1407127590
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KINESIS A CENTER FOR INTEGRATED LIVING
Practice address
12528 W. Washington Blvd
Los Angeles, CA 90066-5506
Phone
(310) 745-4275
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dawn McCrory, PT, DPTNPI 1376600585
Title
Ceo
Phone
(310) 745-4275

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 Primary

Addresses

Primary practice location

12528 W. Washington Blvd
Los Angeles, CA 90066-5506

Mailing address

12528 W. Washington Blvd
Los Angeles, CA 90066-5506
Phone (310) 745-4275

National Provider Directory

National Provider Directory

Locations

12528 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 745-4275

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": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1407127590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12528 W. WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665506",
            "telephone_number": "310-745-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12528 W. WASHINGTON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665506",
            "telephone_number": "310-745-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS A CENTER FOR INTEGRATED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "MCCRORY",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-745-4275",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.