Organization Active NPI

Rekinetic Physical Therapy & Wellness, LLC

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1821625294
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REKINETIC PHYSICAL THERAPY & WELLNESS, LLC
Practice address
2413 Eastern Ave Apt 301
Baltimore, MD 21224-3768
Phone
(301) 325-1232
NPI assigned
Mar 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Authorized official

Name
Dr. Rozalyn Moore, DPT
Title
Owner
Phone
(301) 325-1232

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X
Home Health Agency 251E00000X
Corporate Health Clinic/Center 261QC1800X
Physical Therapy Clinic/Center 261QP2000X
Assisted Living Facility 310400000X

Addresses

Primary practice location

2413 Eastern Ave Apt 301
Baltimore, MD 21224-3768

Mailing address

2413 Eastern Ave Apt 301
Baltimore, MD 21224-3768

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rozalyn@rekineticpt.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585094400000",
    "number": "1821625294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 EASTERN AVE APT 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 EASTERN AVE APT 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243768",
            "telephone_number": "301-325-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REKINETIC PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROZALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-325-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rozalyn@rekineticpt.com",
            "affiliation": "N",
            "endpointDescription": "Biz email",
            "address_1": "2413 Eastern Ave Apt 301",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212243768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; 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.