Organization Active NPI

Kinetic Rehab, PLLC

  • Physical Therapy Clinic/Center
  • Jackson, MI
National Provider Identifier
1528425642
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5501015290 Issued in MI
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

Updated by the provider on May 9, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.