Organization Active NPI

Kinesa Rehab Group

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
National Provider Identifier
1790945954
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME97603 Issued in FL
Legal business name
KINESA REHAB GROUP
Practice address
3277 Fruitville Rd
Suite C-1
Sarasota, FL 34237-6410
Phone
(941) 906-9484
Fax
(941) 906-1099
NPI assigned
Jun 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Dr. Lisa A Merritt, M.D.NPI 1407989973
Title
Medical Director
Phone
(941) 356-0980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X ME97603 FL Primary

Addresses

Primary practice location

3277 Fruitville Rd
Suite C-1
Sarasota, FL 34237-6410

Mailing address

PO Box 51779
Sarasota, FL 34232-0314
Phone (941) 356-0980

National Provider Directory

National Provider Directory

Locations

501 N Beneva Rd
Ste 600
Sarasota, FL 34232
Phone (941) 906-9484

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1790945954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51779",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342320314",
            "telephone_number": "941-356-0980",
            "fax_number": "941-906-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 FRUITVILLE RD",
            "address_2": "SUITE C-1",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376410",
            "telephone_number": "941-906-9484",
            "fax_number": "941-906-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINESA REHAB GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-356-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME97603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.