Kinetic Prosthetics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KINETIC PROSTHETICS

Practice address

1584 Paoli Pike
West Chester, PA 19380-6107

Phone

(610) 701-8266

Fax

(610) 701-8972

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Mark Nielsen

Title

Manager

Phone

(610) 701-8266

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Kinetic Prosthetics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kinetic Prosthetics

  • Prosthetic/Orthotic Supplier
  • West Chester, PA
  • NPI 1093554750
  NPD tax ID

Locations

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1750727939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806107",
            "telephone_number": "610-701-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 PAOLI PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806107",
            "telephone_number": "610-701-8266",
            "fax_number": "610-701-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1584 Paoli Pike",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193806107",
            "country_code": "US",
            "telephone_number": "610-701-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINETIC PROSTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "NIELSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-701-8266"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Holt Therapy LLC (Connected Within)
• Diane Kim
• Jae Woo Kim, D.M.D.
• Joy Kim
• Kinetic Prosthetics
• Ben King, LMFT
• Deeanna King, M.S. CCC-SLP
• Megan Mary King, D.C.
• Patricia King
• Victoria King, PHMHNP-BC

• Prosthetic/Orthotic Supplier in West Chester, PA
• Providers in West Chester, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.