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KICK SOME MASS, LLC
NPI 1841673928
Physical Medicine & Rehabilitation - Sports Medicine in Orange Park, FL

Active since July 07, 2015
316 PARKRIDGE AVE, ORANGE PARK, FL 32065(904) 589-0750 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2019, Aug 16, 2016 (2 updates tracked since 2016).

About Kick Some Mass, Llc NPPES

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

KICK SOME MASS, LLC (NPI 1841673928) is a healthcare organization registered as a sports medicine in Orange Park, Florida and active in the NPI registry since July 2015. The organization lists Jeffrey Allyn Ruterbusch, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1841673928
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NameKICK SOME MASS, LLC
Location Address316 PARKRIDGE AVEOrange Park, FL 32065-7507
Mailing Address316 Parkridge AveOrange Park, FL 32065-7507 · (904) 589-0750 · Fax (904) 621-9300
Phone(904) 589-0750
Organization SubpartNo
Authorized OfficialJeffrey Allyn RuterbuschMedical Director · (904) 505-0628
Enumeration DateJuly 7, 2015
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1841673928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X
316 PARKRIDGE AVE, Orange Park, FL 32065
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Other Identifiers 1

OtherIP327AFL · Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JEFFREY ALLYN RUTERBUSCH D.O.
Preventive Medicine (Public Health & General Preventive Medicine)
316 PARKRIDGE AVE
ORANGE PARK, FL 32065
Clay County (904) 589-0750

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 Kick Some Mass, LLC's NPI number?

The NPI number for Kick Some Mass, LLC is 1841673928. It was assigned to this organization in the NPPES registry on July 7, 2015.

Where is Kick Some Mass, LLC located?

Kick Some Mass, LLC is located at 316 Parkridge Ave, Orange Park, FL 32065. The listed phone number is (904) 589-0750.

What is Kick Some Mass, LLC's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Kick Some Mass, LLC was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.