Kinesis Rehabilitation LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINESIS REHABILITATION LLC

Practice address

498 Beverly Rancocas Rd Ste D
Willingboro, NJ 08046-3545

Phone

(856) 452-1741

NPI assigned

May 23, 2019

Last updated

May 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nematullah Vasowala, PT

Title

Owner

Phone

(856) 452-1741

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1730746835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S WOODLEIGH DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 BEVERLY RANCOCAS RD STE D",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463545",
            "telephone_number": "856-452-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESIS REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "VASOWALA",
        "authorized_official_first_name": "NEMATULLAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-452-1741",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13838972",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "40QA01668100",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kinesisrehabilitation.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "498 Beverly Rancocas Rd Ste D",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080463545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bipin Kalaria, RPH
• Chelsea Lynne Keegan
• Gerald Kelly
• Dora Elizabeth Kerney
• Aliya W Khan, M.D.
• Kim King
• Edward Knight
• Sarah D Knox
• Hannah Koomson
• Jaya Reddy Kothapally, M.D

• Physical Therapist in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.