Kinetix Physiotherapy & Performance, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINETIX PHYSIOTHERAPY & PERFORMANCE, LLC

Practice address

420 E Central Ave
Mount Holly, NC 28120-2116

Phone

(301) 514-7426

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Christopher Lewis

Title

Owner

Phone

(301) 514-7426

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Garrett J Foland, PT

  • Physical Therapist
  • Gastonia, NC
  • NPI 1598282550
  Medicare reassignment Care Compare group NPD
• Lesley M Pacitto, PT

  • Physical Therapist
  • Mount Holly, NC
  • NPI 1003890328
  Medicare reassignment Care Compare group NPD
• Marisa Littmann

  • Physical Therapist
  • Mooresville, NC
  • NPI 1720660368
  Medicare reassignment Care Compare group NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1407482805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202116",
            "telephone_number": "301-514-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E CENTRAL AVE",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281202116",
            "telephone_number": "301-514-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PHYSIOTHERAPY & PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-514-7426"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Bui Huynh, DMD
• Intervention Concepts Inc.
• Demb0 Kande
• Ellen Key, MS, OTR/L
• Reilly Brielle Kilpatrick, PA
• Mary Knox
• Christi Labella
• Addie Elizabeth Layton, FNP
• Lenvora Home Care Services LLC
• Christina Lindsay, DROT,OTR/L

• Physical Therapy Clinic/Center in Mount Holly, NC
• Providers in Mount Holly, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.