Kinetix Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

KINETIX PHYSICAL THERAPY LLC

Practice address

3871 Fairview Industrial Dr SE Ste 120
Salem, OR 97302-1172

Phone

(503) 990-6393

Fax

(503) 794-0103

NPI assigned

Apr 5, 2022

Organization subpart

No

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

Authorized official

Name

Domonique Ruscitti

Title

Billing & Contracting Specialist

Phone

(971) 274-2861

Specialties & licenses 2

Addresses

Other names 1

• Salem Sportscare Physical Therapy Doing business as

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1760123764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021172",
            "telephone_number": "503-990-6393",
            "fax_number": "503-794-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 FAIRVIEW INDUSTRIAL DR SE STE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021172",
            "telephone_number": "503-990-6393",
            "fax_number": "503-794-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "RUSCITTI",
        "authorized_official_first_name": "DOMONIQUE",
        "authorized_official_title_or_position": "BILLING & CONTRACTING SPECIALIST",
        "authorized_official_telephone_number": "971-274-2861"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Sportscare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Salem Sportscare Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charles Maina Kimani, RN BSN
• Kimberly E Kintz
• Martha Justina Kimble, RDH
• Molly Marie Kimsey
• Kind Keepers Inc
• King Dental PC
• Adam King, PA-C
• Dennis King
• Edward Merrill King, LMFT
• Elizabeth L King, M.D.

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.