NPIMap

Organization Active NPI

Kinetic of Montgomery, LLC

  • Physical Therapist
  • Montgomery, AL
National Provider Identifier
1619570660
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINETIC OF MONTGOMERY, LLC
Practice address
6707 Taylor Cir
Montgomery, AL 36117-7706
Phone
(334) 625-0209
Fax
(833) 626-0683
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Robert M Tate Jr.
Title
Managing Partner
Phone
(334) 233-8283

Specialties & licenses 1

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

Addresses

Primary practice location

6707 Taylor Cir
Montgomery, AL 36117-7706

Mailing address

8355 Crossland Loop
Montgomery, AL 36117-8483
Phone (334) 270-1630

National Provider Directory

National Provider Directory

Locations

8355 Crossland Loop
Montgomery, AL 36117
Phone (334) 270-1630

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1619570660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 CROSSLAND LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178483",
            "telephone_number": "334-270-1630",
            "fax_number": "334-730-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 TAYLOR CIR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177706",
            "telephone_number": "334-625-0209",
            "fax_number": "833-626-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC OF MONTGOMERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "334-233-8283",
        "authorized_official_name_suffix": "Jr."
    },
    "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 Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.