NPIMap

Organization Active NPI

Kinetix Advanced Physical Therapy, Inc.

  • Physical Therapist
  • Valencia, CA
National Provider Identifier
1902853310
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30318 Issued in CA
Legal business name
KINETIX ADVANCED PHYSICAL THERAPY, INC.
Practice address
25176 Rye Canyon Rd
Valencia, CA 91355
Phone
(661) 288-0300
Fax
(661) 288-0388
NPI assigned
May 30, 2006
Last updated
Jul 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Mr. Timothy Franklin Eckard, MSPT, CERT. MDTNPI 1093762403
Title
President/Owner
Phone
(661) 288-0300

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 PT 30318 CA Primary

Addresses

Primary practice location

25176 Rye Canyon Rd
Valencia, CA 91355

Mailing address

23501 Cinema Drive
Suite 116
Valencia, CA 91355
Phone (661) 288-0300

National Provider Directory

National Provider Directory

Locations

18520 Via Princessa
Ste 2
Canyon Country, CA 91387
Phone (661) 288-0300

43001 10th St W
Lancaster, CA 93534
Phone (661) 974-7033

24640 Wiley Canyon Rd
Santa Clarita, CA 91321
Phone (661) 255-3365

Practitioners & affiliated clinicians

Practitioners 9

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": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1902853310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23501 CINEMA DRIVE",
            "address_2": "SUITE 116",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-288-0300",
            "fax_number": "661-288-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25176 RYE CANYON RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355",
            "telephone_number": "661-288-0300",
            "fax_number": "661-288-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIX ADVANCED PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "ECKARD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "661-288-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 30318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

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