Organization Active NPI

Kinetic Physical Therapy & Sports Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Hickory, NC
National Provider Identifier
1790164697
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
NC14258 Issued in NC
Legal business name
KINETIC PHYSICAL THERAPY & SPORTS REHABILITATION, INC
Practice address
3048 N Center St
Hickory, NC 28601-1101
Phone
(828) 855-9955
NPI assigned
May 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Alan Cheung
Title
Physical Therapist/ Owner
Phone
(828) 855-9955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NC14258 NC Primary

Addresses

Primary practice location

3048 N Center St
Hickory, NC 28601-1101

Mailing address

3048 N Center St
Hickory, NC 28601-1101

National Provider Directory

National Provider Directory

Locations

3048 N Center St
Hickory, NC 28601
Phone (828) 855-9955

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1790164697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011101",
            "telephone_number": "828-855-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC PHYSICAL THERAPY & SPORTS REHABILITATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "828-855-9955"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "NC14258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.