Kpo Rehabilitation & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0695 Issued in AK

Legal business name

KPO REHABILITATION & SPORTS MEDICINE

Practice address

130 S Willow St
Suite 1
Kenai, AK 99611-7744

Phone

(907) 262-2596

Fax

(907) 262-2765

NPI assigned

Sep 13, 2013

Organization subpart

No

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

Authorized official

Name

Thomas T Wells, P.T

Title

President/Physical Therapist

Phone

(907) 262-2596

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kpo Rehabilitation and Sports Medicine Inc.

  • Physical Therapist
  • Soldotna, AK
  • NPI 1740467554

  Member Of

  NPD member

Locations

Practitioners 1

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

• Henry G Krull, M.D.

  • Orthopaedic Surgery Physician
  • Soldotna, AK
  • NPI 1669477790
  NPD

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1558796144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697420",
            "telephone_number": "907-262-2596",
            "fax_number": "907-262-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S WILLOW ST",
            "address_2": "SUITE 1",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117744",
            "telephone_number": "907-262-2596",
            "fax_number": "907-262-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPO REHABILITATION & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "907-262-2596",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "PT0695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Mae Kilfoyle
• Kim Thiele, DO, PC
• Heidi Wynne King
• Sara Irene Koenig
• Michael D Koob, D.C.
• Stephen Andrew Kronlage, RDN, LDN
• Jena L Kruzick
• Sadie Kruzick
• Sarah Ashley Kurka, PA-C
• Robert D Lacitinola

• Physical Therapist in Kenai, AK
• Providers in Kenai, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.