Organization Active NPI

Kinetix PT, Inc.

  • Physical Therapist
  • Templeton, CA
National Provider Identifier
1588084461
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28027 Issued in CA
Legal business name
KINETIX PT, INC.
Practice address
1255 Las Tablas Rd Ste 201
Templeton, CA 93465-9750
Phone
(805) 286-4794
Fax
(805) 926-3176
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Steve Hodgson, PTNPI 1598823288
Title
Owner
Phone
(805) 286-4794

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 28027 CA Primary

Addresses

Primary practice location

1255 Las Tablas Rd Ste 201
Templeton, CA 93465-9750

Mailing address

1255 Las Tablas Rd Ste 201
Templeton, CA 93465-9750
Phone (805) 286-4794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140710001601 CA Part B Supplier - Clinic/Group Practice 9032334982 Receives reassigned benefits from 4 practitioners
Practice locations: Templeton, CA

National Provider Directory

National Provider Directory

Locations

959 Las Tablas Rd
Ste A4
Templeton, CA 93465
Phone (805) 305-3270

Practitioners & affiliated clinicians

Practitioners 4

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1588084461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 LAS TABLAS RD STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659750",
            "telephone_number": "805-286-4794",
            "fax_number": "805-926-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LAS TABLAS RD STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659750",
            "telephone_number": "805-286-4794",
            "fax_number": "805-926-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "HODGSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-286-4794",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.