Active NPI
Kinship Therapy Services Inc.
- Physical Medicine & Rehabilitation Physician
- Edmond, OK
National Provider Identifier
1992446637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peterson Njoroge Mwangi, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Edmond, OK
- NPI 1285099572
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.