Kinetic Rehab, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

KINETIC REHAB, LLC

Practice address

1450 Barnum Ave
Suite 205
Bridgeport, CT 06610-3239

Phone

(203) 336-6874

Fax

(203) 336-6875

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Sheehan, M.D.NPI 1568476190

Title

President

Phone

(203) 336-6874

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.

• Daniel Joseph Sheehan, M.D.

  • Physical Medicine & Rehabilitation Physician
  • East Sandwich, MA
  • NPI 1568476190
  NPD (past) Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1770766826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 BARNUM AVE",
            "address_2": "SUITE 205",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103239",
            "telephone_number": "203-336-6874",
            "fax_number": "203-336-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 BARNUM AVE",
            "address_2": "SUITE 205",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066103239",
            "telephone_number": "203-336-6874",
            "fax_number": "203-336-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-336-6874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heeryoung Kim, MD
• Hyun S Kim, DC
• Jae Kim, D.D.S
• Rosy Minhye Kim, DDS
• Young Choi Kim, MD
• Molly King, PA
• Nicole Kingsland, MSN, SRNA
• Linton Kinlock, APRN
• Christiane Kinseley, LCSW
• Robert Kinzler, MS, NCC, LPC-A

• Physical Medicine & Rehabilitation Physician in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.