Healthcare Provider Details

I. General information

NPI: 1538095773
Provider Name (Legal Business Name): KINETIC HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7048 174TH ST FL 2
FRESH MEADOWS NY
11365-3413
US

IV. Provider business mailing address

7048 174TH ST FL 2
FRESH MEADOWS NY
11365-3413
US

V. Phone/Fax

Practice location:
  • Phone: 347-420-9422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID BATYROV
Title or Position: PHYSICAL THERAPIST
Credential:
Phone: 347-420-9422