KINETIC KIDS, INC. (NPI# 1891949707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891949707 |
| Entity Type | Organization |
| Organization Name | KINETIC KIDS, INC. |
| Practice Address |
1016 Euclid Ave Charlotte NC 28203-4520 |
| Mailing Address |
9611 Brookdale Dr Suite 100-122 Charlotte NC 28215-8719 |
| Practice Telephone | 7048075699 |
| Practice Fax Number | 7046314574 |
| Mailing Telephone | 7048075699 |
| Mailing Fax Number | 7046314574 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2015-08-20 |
| Authorized Official Name | MRS. TIFFANI S. BACON (CO-FOUNDER & PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7048075699 |
| Authorized Official Credential | PT, MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
NC | Ambulatory Health Care Facilities | |
| N | 261QA3000X |
Clinic/Center Specialization: Augmentative Communication |
NC | Ambulatory Health Care Facilities | |
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
NC | Ambulatory Health Care Facilities | |
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
NC | Ambulatory Health Care Facilities | |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
NC | Ambulatory Health Care Facilities | |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
NC | Ambulatory Health Care Facilities | |
| N | 251E00000X | Home Health | NC | Agencies | |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
NC | Ambulatory Health Care Facilities | |
| N | 252Y00000X | Early Intervention Provider Agency | NC | Agencies | |
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
NC | Ambulatory Health Care Facilities | |
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200262 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427003 | Kinetic Kids, Inc. | Physical Therapist | 1000 West Ave, #1411, Miami Beach, FL 33139-4759 | 2006-04-18 |
| 1902252059 | Kinetic Kids, Inc. | Early Intervention Provider Agency | 421 Woods Edge Dr, Somerset, KY 42503-5604 | 2016-05-09 |
| Street Address |
1016 EUCLID AVE |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386127041 | Ketty Johnson | Case Manager/Care Coordinator | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-09-10 |
| 1699268359 | Ashley Theogene | Occupational Therapist | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-06-07 |
| 1841780129 | Allison E Whitley | Case Manager/Care Coordinator | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-05-13 |
| 1679079578 | Allison Joslin | Physical Therapist | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-04-01 |
| 1629573035 | Erin Collins Barnobi | Physical Therapy Assistant | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-03-27 |
| 1295230191 | Marvella Alexandria Bowman | Psychologist | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-03-24 |
| 1831693498 | Shyana Maria Tirado | Case Manager/Care Coordinator | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-03-20 |
| 1962905745 | Byron Denartus Bacon | Case Manager/Care Coordinator | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-03-17 |
| 1235647215 | Kelly Lawler Weynand | Occupational Therapist | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2018-01-12 |
| 1558871061 | Robert Andrew Green | Occupational Therapy Assistant | 1016 Euclid Ave, Charlotte, NC 28203-4520 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861441719 | Carolina Therapy Center LLC | Clinic/Center | 7215 Pineville Matthews Rd, Suite 300, Charlotte, NC 28226-6173 | 2006-05-09 |
| 1437464732 | Carolina Therapy | Clinic/Center | 7108 Pineville Matthews Rd, Suite 101, Charlotte, NC 28226-8187 | 2010-08-11 |
| 1316124332 | Health and Rehabilitation Psychologists of Charlotte | Clinic/Center | 2610 E 7th St, Charlotte, NC 28204-4375 | 2008-01-22 |
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| 1356726970 | Onnex Health and Rehabilitation Services | Clinic/Center | 6300 Creedmoor Rd, Suite 170-260, Raleigh, NC 27612-6730 | 2015-07-24 |
| 1003231309 | Monroe Manor Therapy Services Inc. | Clinic/Center | 1101 Baucom Rd, Monroe, NC 28110-7584 | 2014-02-23 |
| 1821372210 | Primary Health Choice, Inc. | Clinic/Center | 509 W Broad St, Dunn, NC 28334-4809 | 2011-10-04 |
| Find all providers with the same taxonomy | ||||
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| 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.