Kinergy Sports Medicine and Performance LLC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

KINERGY SPORTS MEDICINE AND PERFORMANCE LLC

Practice address

401 Ryland St Ste 200a
Reno, NV 89502-1643

Phone

(702) 354-3279

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Terrill Da Vitoria Lobo, LAT, ATC, CAT(C)NPI 1104438217

Title

Owner/Athletic Therapist

Phone

(702) 354-3279

Specialties & licenses 1

Addresses

Other names 1

• Kinergy Sports Medicine and Performance Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrill Da Vitoria Lobo, LAT, ATC, CAT(C)

  • Athletic Trainer
  • Reno, NV
  • NPI 1104438217
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1740938570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643",
            "telephone_number": "702-354-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643",
            "telephone_number": "702-354-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINERGY SPORTS MEDICINE AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "DA VITORIA LOBO",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "OWNER/ATHLETIC THERAPIST",
        "authorized_official_telephone_number": "702-354-3279",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LAT, ATC, CAT(C)"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinergy Sports Medicine and Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thea Grandi Kimura, RD
• Kristie Kay Kinder
• Dalisha Kindle
• Kindred Care Chiropractic LLC
• Jason Lawrence Kiner, M.D.
• King Group Home
• Bridgitte Ann King
• Dustin Miles King, APRN
• Fredrica Redding King, LCSW
• Hailey King

• Athletic Trainer in Reno, NV
• Providers in Reno, NV by specialty
• Athletic Trainer in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.