Organization Active NPI

Kinetic Physical Therapy, LLC

  • Physical Therapist
  • Chelsea, AL
National Provider Identifier
1669085346
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 24, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
FHIR URL Birmingham

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.