KINETIC SPORTS MEDICINE AND PERFORMANCE
NPI 1083101117
Clinic/Center - Physical Therapy in Delafield, WI

NPI Status: Active since April 14, 2018

Contact Information

405 GENESEE ST
DELAFIELD, WI
ZIP 53018
Phone: (262) 337-9331

NPI Profile Information
Primary Taxonomy
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Physical Therapy

About KINETIC SPORTS MEDICINE AND PERFORMANCE

This page provides the complete NPI Profile along with additional information for Kinetic Sports Medicine And Performance, a provider established in Delafield, Wisconsin operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1083101117 assigned on April 2018. The practitioner's primary taxonomy code is 261QP2000X with license number 14121-24 (WI). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Kinetic Sports Medicine And Performance. The authorized official of this NPI record is Michael Falk Pt, Dpt, Atc (Owner, President)

NPI: 1083101117
Provider Legal Name: KINETIC SPORTS MEDICINE AND PERFORMANCE LLC
Other Organization Name: KINETIC SPORTS MEDICINE AND PERFORMANCE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 405 GENESEE ST DELAFIELD, WI 53018
Location Phone: (262) 337-9331
Mailing Address: N29W29682 FRANCISCAN RD PEWAUKEE, WI 53072
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-14-2018
Last Update Date: 03-10-2023
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Location Map

Secondary Locations

665 S 72nd St
Milwaukee, WI 53214
(262) 337-9331

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Physical Therapy
Taxonomy Code: 261QP2000X
Type: Ambulatory Health Care Facilities
License No.: 14121-24
License State: WI
Taxonomy Description: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MICHAEL FALK PT, DPT, ATC
Authorized Official Title: OWNER, PRESIDENT
Authorized Official Phone: (214) 687-6775

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	8	3	1	0	1	1	1	7
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	16	3	2	0	2	1	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 2 + 0 + 2 + 1 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 7									7

The NPI number 1083101117 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.