Organization Active NPI

Dipendra Gautam Physical Therapy Inc

Doing business as Kinesis Plus Physical Therapy

  • Physical Therapist
  • Madera, CA
National Provider Identifier
1831944875
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DIPENDRA GAUTAM PHYSICAL THERAPY INC
Doing business as
Kinesis Plus Physical Therapy
Practice address
502 Traverse Dr S
Madera, CA 93636-9038
Phone
(559) 396-4681
NPI assigned
Apr 23, 2024
Last updated
Jun 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Authorized official

Name
Dipendra Gautam, DPTNPI 1437879624
Title
Physical Therapist
Phone
(703) 626-9334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

502 Traverse Dr S
Madera, CA 93636-9038

Mailing address

502 Traverse Dr S
Madera, CA 93636-9038
Phone (595) 396-4681

Other names 1

  • Kinesis Plus Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

7942 N Maple Ave
Ste 102
Fresno, CA 93720
Phone (559) 396-4681

113 Riverwalk Blvd
Ste 11150
Madera, CA 93636
Phone (703) 626-9334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749340800000",
    "number": "1831944875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 TRAVERSE DR S",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369038",
            "telephone_number": "595-396-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 TRAVERSE DR S",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369038",
            "telephone_number": "559-396-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPENDRA GAUTAM PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-23",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A",
        "authorized_official_last_name": "GAUTAM",
        "authorized_official_first_name": "DIPENDRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "703-626-9334",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinesis Plus Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.