Active NPI
Kinetic Physical Therapy, LLC
- Physical Therapist
- Chelsea, AL
National Provider Identifier
1669085346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- KINETIC PHYSICAL THERAPY, LLC
- Practice address
- 15582 Highway 280 Ste 114
Chelsea, AL 35043-8361 - Phone
- (205) 940-1247
- Fax
- (334) 730-0499
- NPI assigned
- Aug 24, 2020
- 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. Robert M Tate
- Title
- Managing Emplyee
- Phone
- (205) 940-1247
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
15582 Highway 280 Ste 114
Chelsea, AL 35043-8361
Mailing address
8355 Crossland Loop
Montgomery, AL 36117-8483
Phone (334) 270-1630
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | Birmingham |
National Provider Directory
National Provider DirectoryLocations
15582 Highway 280
Ste 114
Chelsea, AL 35043
Phone (205) 678-6884
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Hoover, AL
- NPI 1306996657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598227200000",
"number": "1669085346",
"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": "334-313-8990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15582 HIGHWAY 280 STE 114",
"city": "CHELSEA",
"state": "AL",
"postal_code": "350438361",
"telephone_number": "205-940-1247",
"fax_number": "334-730-0499"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINETIC PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "TATE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGING EMPLYEE",
"authorized_official_telephone_number": "205-940-1247",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "Birmingham",
"affiliation": "N",
"address_1": "15582 Highway 280 Ste 114",
"city": "Chelsea",
"state": "AL",
"country_code": "US",
"postal_code": "350438361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chelsea, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.