Organization Active NPI

Kines Physical Therapy PLLC

  • Physical Therapist
  • Bronx, NY
National Provider Identifier
1568301992
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINES PHYSICAL THERAPY PLLC
Practice address
3265 Johnson Ave Ste 211
Bronx, NY 10463-3539
Phone
(929) 755-2682
Fax
(929) 810-3278
NPI assigned
Mar 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Brando Lakes, DPT, PT, OCSNPI 1801386503
Title
President
Phone
(929) 755-2682

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3265 Johnson Ave Ste 211
Bronx, NY 10463-3539

Mailing address

3656 Johnson Ave Apt 6G
Bronx, NY 10463-1616
Phone (929) 755-2682

National Provider Directory

National Provider Directory
Tax ID family
Kines Physical Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3265 Johnson Ave
Ste 211
Bronx, NY 10463
Phone (760) 819-1921

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": "1774656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774656000000",
    "number": "1568301992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 JOHNSON AVE APT 6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631616",
            "telephone_number": "929-755-2682",
            "fax_number": "929-810-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE STE 211",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "929-755-2682",
            "fax_number": "929-810-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINES PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-28",
        "last_updated": "2026-03-28",
        "certification_date": "2026-03-28",
        "status": "A",
        "authorized_official_last_name": "LAKES",
        "authorized_official_first_name": "BRANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-755-2682",
        "authorized_official_credential": "DPT, PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; 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.