Organization Active NPI

Kinematics and Prosthetics Rehabilitation Institute LLC

  • Prosthetic/Orthotic Supplier
  • Dallas, TX
National Provider Identifier
1922755958
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
KINEMATICS AND PROSTHETICS REHABILITATION INSTITUTE LLC
Practice address
8035 E RL Thrtn Fwy Ste 324
Dallas, TX 75228-7072
Phone
(321) 217-9297
NPI assigned
Mar 9, 2022
Last updated
Dec 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Mr. Billy Gordon, LP, CPNPI 1053950303
Title
Prosthetist
Phone
(321) 217-9297

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

8035 E RL Thrtn Fwy Ste 324
Dallas, TX 75228-7072

Mailing address

4714 Coyote TRL
Dallas, TX 75227-2821
Phone (321) 217-9297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316000370 TX DME Supplier - Medical Supply Company 5395263099 Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Kinematics and Prosthetics Rehabili8035 E RL Thorton Fwy, Dallas, TX 75228-7072(321) 217-9297 Limb Prostheses Accepts assignmentParticipating since Dec 18, 2025

National Provider Directory

National Provider Directory

Locations

8035 E R L Thornton Fwy
Ste 324
Dallas, TX 75228
Phone (214) 238-0033

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": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1922755958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 COYOTE TRL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752272821",
            "telephone_number": "321-217-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E RL THRTN FWY STE 324",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287072",
            "telephone_number": "321-217-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINEMATICS AND PROSTHETICS REHABILITATION INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "PROSTHETIST",
        "authorized_official_telephone_number": "321-217-9297",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LP, CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.