Kinetic Orthotics & Prosthetics LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

KINETIC ORTHOTICS & PROSTHETICS LLC

Practice address

2571 Pembroke Rd
Gastonia, NC 28054-4712

Phone

(704) 691-7145

Fax

(704) 691-7631

NPI assigned

Jan 11, 2013

Organization subpart

No

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

Authorized official

Name

Anna Kourtney FoxNPI 1669592846

Title

Partner

Phone

(704) 691-7145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

Locations

Practitioners 2

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

• Anna K Fox, CO

  • Orthotist
  • Gastonia, NC
  • NPI 1669592846
  NPD Authorized official
• Theresa Walker Utt, CMF

  • Mastectomy Fitter
  • Gastonia, NC
  • NPI 1477975035
  NPD

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1962749838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "704-691-7145",
            "fax_number": "704-691-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 PEMBROKE RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544712",
            "telephone_number": "704-691-7145",
            "fax_number": "704-691-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC ORTHOTICS & PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-11",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "KOURTNEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-691-7145"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla J Kifer
• Crystal Shuandale Killian, NP
• Kilroy Company (American Health Services)
• Seong-Hye Kim, N.P.
• Tyler Kinch, PT, DPT, ATC
• Angela Smith King, RN
• Chiquita Maria King, MSW, LCSWA
• Glenn Randolph Borror King, MA, LCMHC, NCC
• Jocelyn King
• Michelle Martin King, COTA

• Prosthetic/Orthotic Supplier in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.