KINETIC HEALTH AND PERFORMANCE
NPI 1750929220
Clinic/Center in Fairview Heights, IL

Active since December 16, 2019
5900 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(618) 619-8200 Get Directions Write a Review

NPPES record last updated: May 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2020, Dec 16, 2019 (2 updates tracked since 2019).

About Kinetic Health And Performance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINETIC HEALTH AND PERFORMANCE (NPI 1750929220) is a healthcare organization registered as a clinic/center in Fairview Heights, Illinois and active in the NPI registry since December 2019. The organization lists Kyle Brunsmann, Sports Therapist / Functional Rehab, as its authorized official.

NPPES Registry Identity

NPI1750929220
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameKINETIC HEALTH AND PERFORMANCE
Location Address5900 N ILLINOIS STFairview Heights, IL 62208-2700
Mailing Address2706 E Main StBelleville, IL 62221-5034
Organization SubpartNo
Authorized OfficialKyle BrunsmannSports Therapist / Functional Rehab · (618) 619-8200
Enumeration DateDecember 16, 2019
Last NPPES UpdateMay 15, 20202 updates tracked since enumeration
NPPES CertifiedMay 15, 2020
NPI 1750929220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5900 N ILLINOIS ST, Fairview Heights, IL 62208

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5900 N ILLINOIS ST, STE 9
FAIRVIEW HEIGHTS, IL 62208

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 Health And Performance's NPI number?

The NPI number for Kinetic Health And Performance is 1750929220. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Kinetic Health And Performance located?

Kinetic Health And Performance is located at 5900 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 619-8200.

What is Kinetic Health And Performance's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Kinetic Health And Performance was last updated on May 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.