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

Q: What is Kinetic Kids, Inc.'s NPI number?

The NPI number for Kinetic Kids, Inc. is 1891949707. It was assigned to this organization in the NPPES registry on November 5, 2008.

Q: What is Kinetic Kids, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

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: August 09, 2026.

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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 12

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

KELLY LAWLER WEYNAND OTR/L

Occupational Therapist (Pediatrics)