Active NPI
Kinro Care Inc
- Physical Medicine & Rehabilitation Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- KINRO CARE INC
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702-4399 - Phone
- (407) 498-5274
- Fax
- (407) 900-8098
- NPI assigned
- Aug 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adetoluwa Ijidakinro, MD
- Title
- Ceo/Founder
- Phone
- (407) 900-8098
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Clinic/Center | 261Q00000X |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Mailing address
9300 Conroy Windermere Rd Unit 161
Windermere, FL 34786-5007
Other practice location 1
831 S State Road 434
Altamonte Springs, FL 32714-3502
Phone (407) 587-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221202002759 | FL | Part B Supplier - Clinic/Group Practice | 9830568468 |
Receives reassigned benefits from 2 practitioners Practice locations: Saint Petersburg, FL |
National Provider Directory
National Provider DirectoryLocations
9300 Conroy Windermere Rd
Unit 161
Windermere, FL 34786
Phone (407) 900-8098
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Internal Medicine Physician
- Windermere, FL
- NPI 1609733880
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- St Petersburg, FL
- NPI 1760973812
FL, Physical Medicine & Rehabilitation
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1306408349
FL, Physical Medicine & Rehabilitation
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712707200000",
"number": "1801515952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 CONROY WINDERMERE RD UNIT 161",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "407-498-5274",
"fax_number": "407-900-8098"
}
],
"practiceLocations": [
{
"address_1": "831 S State Road 434",
"address_purpose": "LOCATION",
"city": "Altamonte Springs",
"state": "FL",
"postal_code": "327143502",
"country_code": "US",
"telephone_number": "407-587-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KINRO CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-23",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A",
"authorized_official_last_name": "IJIDAKINRO",
"authorized_official_first_name": "ADETOLUWA",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "407-900-8098",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.