Organization Active NPI

Kinship Therapy Services Inc.

  • Physical Medicine & Rehabilitation Physician
  • Edmond, OK
National Provider Identifier
1992446637
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KINSHIP THERAPY SERVICES INC.
Practice address
19612 Danforth Farms Blvd
Edmond, OK 73012-3473
Phone
(405) 317-6874
NPI assigned
Apr 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Peterson Njoroge Mwangi, PT, DPTNPI 1285099572
Title
Owner
Phone
(405) 650-5946

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
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

19612 Danforth Farms Blvd
Edmond, OK 73012-3473

Mailing address

19612 Danforth Farms Blvd
Edmond, OK 73012-3473
Phone (405) 317-6874

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220503000627 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072900489 Receives reassigned benefits from 1 practitioner
Practice locations: Edmond, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

2919 NW 122nd St
Ste A
Oklahoma City, OK 73120
Phone (405) 317-6874

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1992446637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19612 DANFORTH FARMS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123473",
            "telephone_number": "405-317-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19612 DANFORTH FARMS BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730123473",
            "telephone_number": "405-317-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSHIP THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MWANGI",
        "authorized_official_first_name": "PETERSON",
        "authorized_official_middle_name": "NJOROGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-650-5946",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.