NPIMap

Organization Active NPI

Kinematic Concepts Physical Therapy & Sports Rehab, PLLC

  • Physical Therapist
  • Helotes, TX
National Provider Identifier
1811026040
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
647890002 Issued in TX
Legal business name
KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC
Practice address
12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689
Phone
(210) 372-9600
Fax
(210) 372-9923
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Mr. John Malfer, PT
Title
President/Co-Owner
Phone
(210) 695-8731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 647890002 TX Primary

Addresses

Primary practice location

12952 Bandera Rd
Suite 107
Helotes, TX 78023-4689

Mailing address

8627 Cinnamon Creek Dr
Suite 402
San Antonio, TX 78240-1480
Phone (210) 695-8731

Other identifiers 2

IdentifierTypeStateIssuer
0084HNOtherTXBLUE CROSS BLUE SHIELD
1543670-01MedicaidTX

Other names 1

  • Momentum Physical Therapy & Sports Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kinematic Concepts Physical Therapy Sports Rehab10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1811026040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR",
            "address_2": "SUITE 402",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401480",
            "telephone_number": "210-695-8731",
            "fax_number": "210-598-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12952 BANDERA RD",
            "address_2": "SUITE 107",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234689",
            "telephone_number": "210-372-9600",
            "fax_number": "210-372-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "MALFER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/CO-OWNER",
        "authorized_official_telephone_number": "210-695-8731",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "647890002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0084HN",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543670-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Momentum Physical Therapy & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Helotes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.