Active NPI
Kinetix Professional Management, Inc.
- Home Health Agency
- Elmhurst, NY
National Provider Identifier
1609159953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 031626-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Elmhurst, NY
- NPI 1376951822
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.