Kinetix Spine and Joint

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

8158 Issued in AZ

Legal business name

KINETIX SPINE AND JOINT

Practice address

10858 E Scenic Veranda Dr
Vail, AZ 85641-2455

Phone

(520) 313-5200

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Scott Dale Jackson, DPT

Title

Physical Therapist

Phone

(520) 784-4997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639607997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10858 E SCENIC VERANDA DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412455",
            "telephone_number": "520-313-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10858 E SCENIC VERANDA DR",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412455",
            "telephone_number": "520-313-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX SPINE AND JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "520-784-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "8158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Carrick Kennedy, CHW
• Shannon Kennedy
• Diane Christine Kent, SLP, B.A
• Tiffany Kern
• Heather L Kinder, RN IBCLC
• Jennifer Braden Kirkpatrick, PH.D.
• Loreen Ann Kleinberg, M.S.
• Marilyn Klensin-Montrose, SLPA
• Julie Antonette Koob, LPN
• Peggie Jeanne Krause-Pittenridge, LPN

• All providers in Vail, AZ
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.