Kinetix Performance Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KINETIX PERFORMANCE PHYSICAL THERAPY, INC.

Practice address

22600 Lambert St Ste 1202F
Lake Forest, CA 92630-1623

Phone

(949) 345-1696

NPI assigned

Jan 13, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Ronald David Waltman, DPTNPI 1922540061

Title

Owner

Phone

(949) 345-1696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ronald D Waltman, PT, DPT

  • Physical Therapist
  • Lake Forest, CA
  • NPI 1922540061
  NPD Authorized official

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1770393449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 LAMBERT ST STE 1202F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301623",
            "telephone_number": "949-345-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 LAMBERT ST STE 1202F",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301623",
            "telephone_number": "949-345-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX PERFORMANCE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "WALTMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-345-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ga Yeun Kim, D.D.S.
• Ji Yun Kim
• Jung-Joo Kim, D.C.
• Sean Kim, D.D.S.
• Emily Kincaid, PA
• Maiko Sylvia King
• Tony King, M.D.
• Oxana Kireeva, LMFT, APCC
• Steven P Kirsch, D.D.S.
• Greg Klassen, PSY.D.

• Physical Therapy Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.