Active NPI
Kinetic Rehab, PLLC
- Physical Therapy Clinic/Center
- Jackson, MI
National Provider Identifier
1528425642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5501015290
- Legal business name
- KINETIC REHAB, PLLC
- Practice address
- 1331 Horton Rd
Suite B
Jackson, MI 49203-5297 - Phone
- (517) 748-7747
- Fax
- (517) 748-7745
- NPI assigned
- Jan 20, 2016
- 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
- Robin Lynn Webster, DPT
- Title
- Physical Therapist/ Owner
- Phone
- (517) 262-1199
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 5501015290 | MI | Primary |
Addresses
Primary practice location
1331 Horton Rd
Suite B
Jackson, MI 49203-5297
Mailing address
1331 Horton Rd
Suite B
Jackson, MI 49203-5297
Phone (517) 748-7747
National Provider Directory
National Provider DirectoryLocations
2151 Ferguson Rd
Ste 101
Jackson, MI 49203
Phone (517) 474-0993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494288000000",
"number": "1528425642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 HORTON RD",
"address_2": "SUITE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035297",
"telephone_number": "517-748-7747",
"fax_number": "517-748-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 HORTON RD",
"address_2": "SUITE B",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035297",
"telephone_number": "517-748-7747",
"fax_number": "517-748-7745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINETIC REHAB, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-20",
"last_updated": "2017-05-09",
"status": "A",
"authorized_official_last_name": "WEBSTER",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
"authorized_official_telephone_number": "517-262-1199",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MI",
"license": "5501015290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.