Kinetic Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINETIC WELLNESS, LLC

Practice address

909 W Main St
Green Forest, AR 72638-2316

Phone

(618) 960-7163

Fax

(870) 341-6282

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Ann Durr, DPTNPI 1881982957

Title

Officer/Manager

Phone

(618) 960-7263

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jessica A Durr, DPT

  • Physical Therapist
  • Green Forest, AR
  • NPI 1881982957
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1497469100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 COUNTY ROAD 107",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329476",
            "telephone_number": "618-960-7163",
            "fax_number": "870-341-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAIN ST",
            "city": "GREEN FOREST",
            "state": "AR",
            "postal_code": "726382316",
            "telephone_number": "618-960-7163",
            "fax_number": "870-341-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICER/MANAGER",
        "authorized_official_telephone_number": "618-960-7263",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Grigg, APRN FNP-BC
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• Mitzi Ann Heithaus, CCC-SLP
• Karl True Hurst, PT2020
• Patricia Ann Hurst, PT
• Wendi Lagore, COTA/L
• Marathon Health LLC
• Mercy Clinic Springfield Communities
• Mercy Hospital Springfield
• Leah Carol Motzko, OTR

• Physical Therapist in Green Forest, AR
• Providers in Green Forest, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.