KINETIC SPORTS AND SPINE PHYSICAL THERAPY (NPI# 1598280059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598280059 |
| Entity Type | Organization |
| Organization Name | KINETIC SPORTS AND SPINE PHYSICAL THERAPY |
| Other Organization Name | KINETIC SPORTS AND SPINE PHYSICAL THERAPY |
| Practice Address |
9525 E Doubletree Ranch Rd Ste 103 Scottsdale AZ 85258-5538 |
| Practice Telephone | (480) 291-4120 |
| Mailing Telephone | 4802914120 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-11-12 |
| Authorized Official Name | JASON Q AVAKIAN (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4802914120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10411 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Kinetic Sports and Spine Physical Therapy | Doing Business As Name - Organization |
| Street Address |
9525 E DOUBLETREE RANCH RD STE 103 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85258-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1790396943 | Arielle Dawne Bohorquez | Registered Nurse | 10466 N 74th Street Suite 150, Scottsdale, AZ 85258 | 2020-08-12 |
| 1487272795 | Orthopedic Specialists of North America, Pllc | Clinic/Center | 8405 N Pima Center Parkway, Scottsdale, AZ 85258 | 2020-07-13 |
| 1649819475 | Therapy With Heart | Marriage & Family Therapist | 8737 E. Via De Commercio, Suite 200, Scottsdale, AZ 85258 | 2019-12-26 |
| 1184190688 | Amy Marie Burke | Clinical Nurse Specialist | 9201 E. Moutain View Rd #220, Scottsdale, AZ 85258 | 2018-10-23 |
| 1154806446 | Cook Family Healthcare & Professional Services, PC | Clinic/Center | 9700 N. 91st. Street, Ste. A-115, Scottsdlae, AZ 85258 | 2018-10-02 |
| 1801378377 | Michelle Marie Kometh | Social Worker | 9449 N 90th St Suite 205, Scottsdale, AZ 85258 | 2018-08-31 |
| 1275028862 | Sarah Maria Goff | Dentist | 8390 E Via De Ventura Ste F200, Scottsdale, AZ 85258 | 2018-06-26 |
| 1508353582 | Brittany Rose Carey | Nurse Practitioner | Matrix Medical Network, 9201 E Mountain View Rd # 220, Scottsdale, AZ 85258 | 2018-04-16 |
| 1760984215 | Ascension Medical LLC | Psychiatry & Neurology | 9590 E Ironwood Sq Suite 210, Scottsdale, AZ 85258 | 2018-03-01 |
| Find all providers in zip 85258 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667860 | Stephanie Laura Mundt | Physical Therapist | 10665 E Le Marche Dr, Scottsdale, AZ 85255-1925 | 2019-12-28 |
| 1578035630 | Premier Fitness Systems LLC | Physical Therapist | 7267 E Adobe Dr Ste 101, Scottsdale, AZ 85255-4032 | 2018-12-28 |
| 1508303462 | Landmark Physical Therapy | Physical Therapist | 8220 N Hayden Rd Ste C108, Scottsdale, AZ 85258-2574 | 2017-01-30 |
| 1528334018 | Michael Dee Roberson | Physical Therapist | 11627 N 64th Pl, Scottsdale, AZ 85254-5015 | 2012-03-28 |
| 1003196635 | Jeffrey Scott Abernethy | Physical Therapist | 7301 E 2nd St Ste 90, Scottsdale, AZ 85251-5600 | 2011-08-26 |
| 1922289255 | Denise Marie White | Physical Therapist | 10115 E Bell Rd, Suite 101b, Scottsdale, AZ 85260-2189 | 2007-11-15 |
| 1487723664 | Mark R Disalvo | Physical Therapist | 9364 E Raintree Dr, # 103, Scottsdale, AZ 85260-2200 | 2006-11-06 |
| 1295827384 | Southwest Sports Medicine & Orthopaedic Surgery Clinic, Ltd. | Physical Therapist | 8129 N 87th Pl, Scottsdale, AZ 85258-4399 | 2006-09-28 |
| 1467476705 | Dana S Douglass | Physical Therapist | 14201 N Hayden Rd, Ste B2, Scottsdale, AZ 85260-2931 | 2006-07-27 |
| 1619974052 | Endurance Rehabilitation LLC | Physical Therapist | 9376 E Bahia Dr, Suite 103, Scottsdale, AZ 85260-1532 | 2005-06-30 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85258 |
Please comment or provide details below to improve the information on KINETIC SPORTS AND SPINE PHYSICAL THERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.