Organization Active NPI

Kinetic Connection, LLC

  • Physical Therapist
  • Lafayette, CO
National Provider Identifier
1801390729
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015240 Issued in CO
Legal business name
KINETIC CONNECTION, LLC
Practice address
401 E Cleveland St
Lafayette, CO 80026-2398
Phone
(724) 996-9276
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Jamei Nichole Stefanski, PT
Title
Owner
Phone
(724) 996-9276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PTL.0015240 CO Primary

Addresses

Primary practice location

401 E Cleveland St
Lafayette, CO 80026-2398

Mailing address

235 Summit TRL
Broomfield, CO 80020-9685
Phone (724) 996-9276

Other practice location 1

7400 W Quincy Ave
Littleton, CO 80123-1202
Phone (724) 996-9276

Other practice location 2

235 Summit Trl
Broomfield, CO 80020-9685
Phone (724) 996-9276

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1801390729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SUMMIT TRL",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800209685",
            "telephone_number": "724-996-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CLEVELAND ST",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262398",
            "telephone_number": "724-996-9276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 W Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801231202",
            "country_code": "US",
            "telephone_number": "724-996-9276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Summit Trl",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800209685",
            "country_code": "US",
            "telephone_number": "724-996-9276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KINETIC CONNECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "STEFANSKI",
        "authorized_official_first_name": "JAMEI",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-996-9276",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.