Pro Kinetix Physical Therapy & Performance, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PRO KINETIX PHYSICAL THERAPY & PERFORMANCE, INC

Practice address

2345 Broadway
Oakland, CA 94612-2414

Phone

(319) 327-1332

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin John BaggeNPI 1285116426

Title

Ceo

Phone

(319) 327-1332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Bagge, PT, DPT

  • Physical Therapist
  • Independence, IA
  • NPI 1285116426
  NPD (past) Authorized official

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1932665650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 KEOKUK AVE",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506449227",
            "telephone_number": "319-327-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122414",
            "telephone_number": "319-327-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO KINETIX PHYSICAL THERAPY & PERFORMANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "BAGGE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-327-1332",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma G Prins, MSW, LCSW
• Jonna Prinzing
• Prism Psychotherapy LLC
• Saraa Sadellia Pritchard-Olawore
• Joely Pritzker, NP-C
• Jerkima Proctor
• Julian C Proctor
• Programs for Exceptional Children
• Propel Foot and Ankle Institute
• George Proper

• Physical Therapy Clinic/Center in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.