KINETIC PHYSICAL THERAPY, INC
NPI 1114978376
Clinic/Center - Physical Therapy in Annapolis, MD
About Kinetic Physical Therapy, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINETIC PHYSICAL THERAPY, INC (NPI 1114978376) is a healthcare organization registered as a physical therapy in Annapolis, Maryland and active in the NPI registry since May 2006. The organization lists Stephen Joseph Sodero, Physical Therapist, Mspt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kinetic Physical Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Kinetic Physical Therapy, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kinetic Physical Therapy, Inc's NPI number?
The NPI number for Kinetic Physical Therapy, Inc is 1114978376. It was assigned to this organization in the NPPES registry on May 13, 2006.
Where is Kinetic Physical Therapy, Inc located?
Kinetic Physical Therapy, Inc is located at 132 Holiday Ct Suite 203, Annapolis, MD 21401. The listed phone number is (410) 573-9930.
What is Kinetic Physical Therapy, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Kinetic Physical Therapy, Inc enrolled in Medicare?
Yes. Kinetic Physical Therapy, Inc is registered in the Medicare PECOS enrollment system.
When is Kinetic Physical Therapy, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kinetic Physical Therapy, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Kinetic Physical Therapy, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kinetic Physical Therapy, Inc was last updated on December 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kinetic Physical Therapy, Inc · NPI 1114978376
Physical Therapy organization in Annapolis, Maryland. Organization record, active in the CMS NPPES registry since May 13, 2006.
## Identity
- **NPI:** 1114978376 (Entity type: Organization)
- **Enumerated:** May 13, 2006
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Stephen Sodero, PHYSICAL THERAPIST, MSPT
## Practice location
- **Address:** 132 HOLIDAY CT, SUITE 203, Annapolis, MD 21401-7005
- **Phone:** (410) 573-9930 · **Fax:** (410) 573-9932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Maryland, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 7, 2010
- **Other identifiers:** Medicare ID-Type Unspecified 799M (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1114978376) · Data from the CMS NPPES public registry.