Kinetic Sports and Spine Physical Therapy

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10411 Issued in AZ

Legal business name

KINETIC SPORTS AND SPINE PHYSICAL THERAPY

Doing business as

Kinetic Sports and Spine Physical Therapy

Practice address

9525 E Doubletree Ranch Rd Ste 103
Scottsdale, AZ 85258-5538

Phone

(480) 291-4120

NPI assigned

Aug 7, 2017

Organization subpart

No

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

Authorized official

Name

Jason Q Avakian

Title

Owner/Physical Therapist

Phone

(480) 291-4120

Specialties & licenses 1

Addresses

Other names 1

• Kinetic Sports and Spine Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598280059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 E DOUBLETREE RANCH RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585538",
            "telephone_number": "480-291-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 E DOUBLETREE RANCH RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585538",
            "telephone_number": "480-291-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC SPORTS AND SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AVAKIAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "480-291-4120"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "10411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinetic Sports and Spine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Kimes, DO
• Andrew Jeffrey Kimmich, DPT
• Cindy Huynh Kimura, PA-C
• Theresa Nguyen Kinard, MD
• Susan Anita Kinate, PAC
• Alexis King, PA-C
• Bethany Ann King, WHNP
• Chana Marie King, COTA
• Gabrielle McVay King, BCBA, LBA
• Jennifer A King, MD

• Orthopedic Physical Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Orthopedic Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.