Active NPI
Kinetic Health Services, LLC
- Customized Equipment (DME)
- Annapolis, MD
National Provider Identifier
1447310099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 02171211
- Legal business name
- KINETIC HEALTH SERVICES, LLC
- Practice address
- 1125 West Street
Suite 304
Annapolis, MD 21401-4198 - Phone
- (703) 622-9032
- Fax
- (800) 936-3359
- NPI assigned
- Dec 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Timothy John Mulvihill Jr., A.T.,C.
- Title
- President
- Phone
- (703) 622-9032
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT-001446-A | PA | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 02171211 | MD | |
| Customized Equipment (DME) | 332BC3200X | 02171211 | MD | Primary |
Addresses
Primary practice location
1125 West Street
Suite 304
Annapolis, MD 21401-4198
Mailing address
1125 West Street
Suite 304
Annapolis, MD 21401-4198
Phone (703) 622-9032
National Provider Directory
National Provider DirectoryLocations
1125 West St
Ste 304
Annapolis, MD 21401
Phone (703) 622-9032
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": "1165881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739232000000",
"number": "1447310099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 WEST STREET",
"address_2": "SUITE 304",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014198",
"telephone_number": "703-622-9032",
"fax_number": "800-936-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 WEST STREET",
"address_2": "SUITE 304",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014198",
"telephone_number": "703-622-9032",
"fax_number": "800-936-3359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINETIC HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-12",
"last_updated": "2025-02-11",
"status": "A",
"authorized_official_last_name": "MULVIHILL",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-622-9032",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "A.T.,C."
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT-001446-A",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MD",
"license": "02171211",
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": "MD",
"license": "02171211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.