Organization Active NPI

Kinesis, LLC

  • Physical Therapist
  • Eagle, ID
National Provider Identifier
1639378409
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
KINESIS, LLC
Practice address
450 W State St
Suite 250
Eagle, ID 83616-7057
Phone
(208) 939-9895
Fax
(208) 947-0926
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Lauren W Scott, MPT
Title
Owner
Phone
(208) 939-9895

Specialties & licenses 1

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

Addresses

Primary practice location

450 W State St
Suite 250
Eagle, ID 83616-7057

Mailing address

450 W State St
Suite 250
Eagle, ID 83616-7057
Phone (208) 939-9895

National Provider Directory

National Provider Directory

Locations

233 W State St
Ste C
Eagle, ID 83616
Phone (208) 939-9895

Practitioners & affiliated clinicians

Practitioners 1

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1639378409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "address_2": "SUITE 250",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167057",
            "telephone_number": "208-939-9895",
            "fax_number": "208-947-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W STATE ST",
            "address_2": "SUITE 250",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167057",
            "telephone_number": "208-939-9895",
            "fax_number": "208-947-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-939-9895",
        "authorized_official_credential": "MPT"
    },
    "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 Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.