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KINETIC KIDS, INC.
NPI 1891949707
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Charlotte, NC

Active since November 05, 2008
1016 EUCLID AVE, CHARLOTTE, NC 28203(704) 807-5699(704) 631-4574 Get Directions Write a Review

NPPES record last updated: August 20, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kinetic Kids, Inc. NPPES

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

KINETIC KIDS, INC. (NPI 1891949707) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Charlotte, North Carolina and active in the NPI registry since November 2008. The organization lists Tiffani S. Bacon, Co-founder & Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1891949707
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameKINETIC KIDS, INC.
Location Address1016 EUCLID AVECharlotte, NC 28203-4520
Mailing Address9611 Brookdale Dr, Suite 100-122Charlotte, NC 28215-8719 · (704) 807-5699 · Fax (704) 631-4574
Phone(704) 807-5699
Fax(704) 631-4574
Organization SubpartNo
Authorized OfficialTiffani S. BaconCo-founder & Physical Therapist · (704) 807-5699
Enumeration DateNovember 5, 2008
Last NPPES UpdateAugust 20, 2015
✔ NPI 1891949707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
Also ListedHome HealthTaxonomy 251E00000X
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
Also ListedClinic/Center · Augmentative CommunicationTaxonomy 261QA3000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · RehabilitationTaxonomy 261QR0400X
1016 EUCLID AVE, Charlotte, NC 28203
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Other Identifiers 1

Medicaid7200262NC

Other Providers at the Same Location NPPES 13

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

DARCY RAE PENNETTA
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
THERESA GREENE
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ROBERT ANDREW GREEN COTA
Occupational Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
KELLY LAWLER WEYNAND OTR/L
Occupational Therapist (Pediatrics)
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
BYRON DENARTUS BACON
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
MRS. SHYANA MARIA TIRADO
Case Manager/Care Coordinator
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ERIN COLLINS BARNOBI
Physical Therapy Assistant
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699
ALLISON JOSLIN PT, DPT
Physical Therapist
1016 EUCLID AVE
CHARLOTTE, NC 28203
Mecklenburg County (704) 807-5699

Frequently Asked Questions

What is KINETIC KIDS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1891949707, enumerated as an "organization" on November 05, 2008.

Where is the provider located?

The provider is located at 1016 EUCLID AVE CHARLOTTE, NC 28203 and the phone number is (704) 807-5699.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0401X and a focus in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF).

What insurance does KINETIC KIDS, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.