Active NPI
Kinesis, LLC
- Physical Therapist
- Eagle, ID
National Provider Identifier
1639378409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryLocations
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.
-
- Physical Therapist
- Boise, ID
- NPI 1609960947
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.