KINETIC CARE PHYSICAL THERAPY LLC


Address: 3245 N Ashland Ave Apt 2a, Chicago, IL 60657-4087
Phone: 2695993609

KINETIC CARE PHYSICAL THERAPY LLC (NPI# 1801356175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801356175
Entity Type Organization
Organization Name KINETIC CARE PHYSICAL THERAPY LLC
Practice Address 3245 N Ashland Ave Apt 2a
Chicago
IL 60657-4087
Practice Telephone 2695993609
Mailing Telephone 2695993609
Enumeration Date 2019-03-22
Last Update Date 2019-05-17
Authorized Official Name SARAH JACOBS (CEO)
Authorized Official Telephone 2695993609
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2000X Clinic/Center
Specialization: Physical Therapy
Ambulatory Health Care Facilities

Office Location

Street Address 3245 N ASHLAND AVE APT 2A
City CHICAGO
State IL
Zip Code 60657-4087

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Taxonomy Information

Taxonomy Code 261QP2000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Physical Therapy

Taxonomy Definition

Definition to come...

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1255997862 Urban Physical Therapy LLC Clinic/Center 345 E Ohio St Apt 2807, Chicago, IL 60611-4065 2019-05-20
1760047179 Remedy Physical Therapy and Wellness Clinic/Center 4636 N Kenmore Ave # 2, Chicago, IL 60640-5039 2019-05-01
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Competitor

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City CHICAGO
Zip Code 60657

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Dataset Information

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.

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