NPIMap

Organization Active NPI

Kinetic Performance and Rehab LLC

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1427729375
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINETIC PERFORMANCE AND REHAB LLC
Practice address
104 Progress CT Ste 60
Winston Salem, NC 27106-3298
Phone
(336) 252-8282
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Dr. Levi Kerby, PT, DPT, OCSNPI 1295265742
Title
Physical Therapist
Phone
(304) 785-2296

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

104 Progress CT Ste 60
Winston Salem, NC 27106-3298

Mailing address

4119 Lakewood Glen Dr
Winston Salem, NC 27107-6877

National Provider Directory

National Provider Directory

Locations

104 Progress Ct
Ste 60
Winston Salem, NC 27106
Phone (336) 252-8282

936 Burke St
Ste 2
Winston Salem, NC 27101

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": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1427729375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 LAKEWOOD GLEN DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271076877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PROGRESS CT STE 60",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063298",
            "telephone_number": "336-252-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PERFORMANCE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "KERBY",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-785-2296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.