KINETIC ORTHOTICS & PROSTHETICS LLC (NPI# 1962749838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962749838 |
| Entity Type | Organization |
| Organization Name | KINETIC ORTHOTICS & PROSTHETICS LLC |
| Practice Address |
1044 X Ray Dr Gastonia NC 28054-7488 |
| Practice Telephone | 7046917145 |
| Practice Fax Number | 7046917631 |
| Mailing Telephone | 7046917145 |
| Mailing Fax Number | 7046917631 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | THERESA UTT (PARTNER) |
| Authorized Official Telephone | 7046917145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | NC | Suppliers |
| Street Address |
1044 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669592846 | Anna K Fox | Orthotist | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2007-03-30 |
| 1457878209 | Randy M Fox | Orthotic Fitter | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2017-08-23 |
| 1477975035 | Theresa Walker Utt | Mastectomy Fitter | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2014-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376848838 | Family Pharmacy of Statesville Inc Rt 9 | Prosthetic/Orthotic Supplier | 1811 S New Hope Rd, Suite 104, Gastonia, NC 28054-6727 | 2011-01-14 |
| 1265515225 | Prosthetic Orthotic Care Center,inc | Prosthetic/Orthotic Supplier | 645 Cox Rd Ste A, Gastonia, NC 28054-0649 | 2006-10-23 |
| 1770940678 | Advanced Prosthetics of Easley, Inc. | Prosthetic/Orthotic Supplier | 2550 Court Dr, Ste 101, Gastonia, NC 28054-2152 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970770 | Survivor Friendly LLC | Prosthetic/Orthotic Supplier | 527 Keisler Dr Ste 104, Cary, NC 27518-9306 | 2020-10-20 |
| 1154920395 | Anderson Prosthetics & Orthotics, LLC | Prosthetic/Orthotic Supplier | 307 W Tremont Ave Ste 200, Charlotte, NC 28203-4902 | 2020-10-20 |
| 1528666195 | Skyland Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 1141 Tunnel Rd Ste E, Asheville, NC 28805-2037 | 2020-10-15 |
| 1982202545 | Davidson Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 845 Church St N Ste 205, Concord, NC 28025-4374 | 2020-10-15 |
| 1891301156 | Tys Cranial Prothesis | Prosthetic/Orthotic Supplier | 2400 S Memorial Dr Ste 3b, Greenville, NC 27834-5031 | 2020-09-21 |
| 1124645882 | The Royal Stich By Melinda | Prosthetic/Orthotic Supplier | 8032 Black Forest Ln Apt 10103, Charlotte, NC 28277-6746 | 2020-06-29 |
| 1073134573 | Diva Salon By Veronica Ashley, Inc. | Prosthetic/Orthotic Supplier | 10901 University City Blvd Ste 108, Charlotte, NC 28213-9300 | 2020-05-06 |
| 1841819711 | Sc&f Enterprises, LLC | Prosthetic/Orthotic Supplier | 2187 Skibo Rd, Fayetteville, NC 28314-0264 | 2020-04-10 |
| 1457986499 | Lala Lashes Charlotte | Prosthetic/Orthotic Supplier | 2434 Shad Ct, Charlotte, NC 28208-3307 | 2020-03-10 |
| 1871125237 | Elite Hair Replacement Inc | Prosthetic/Orthotic Supplier | 2110 Fort Bragg Rd Ste 112, Fayetteville, NC 28303-7036 | 2020-02-04 |
| 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.