Organization Active NPI

Kinetix Professional Management, Inc.

  • Home Health Agency
  • Elmhurst, NY
National Provider Identifier
1609159953
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
031626-1 Issued in NY
Legal business name
KINETIX PROFESSIONAL MANAGEMENT, INC.
Practice address
4207 Gleane St
Elmhurst, NY 11373-2748
Phone
(646) 707-1957
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Authorized official

Name
Mr. Ricardo Sanahon Jr.
Title
Physical Therapist
Phone
(646) 707-1957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 031626-1 NY Primary

Addresses

Primary practice location

4207 Gleane St
Elmhurst, NY 11373-2748

Mailing address

4207 Gleane St
Elmhurst, NY 11373-2748

National Provider Directory

National Provider Directory
Tax ID family
Kinetix Professional Management Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1609159953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 GLEANE ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GLEANE ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732748",
            "telephone_number": "646-707-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PROFESSIONAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "SANAHON",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "646-707-1957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "031626-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.