MEDICARE: STELLAR KINETICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1285526863
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STELLAR KINETICS LLC

Provider Business Mailing Address
First Line	:	3019 W SPENCER ST STE 104
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-5946
Country	:	US
Telephone Number	:	520-609-4324
Fax Number	:

Provider Business Practice Location Address
First Line	:	3019 W SPENCER ST STE 104
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54914-5946
Country	:	US
Telephone Number	:	520-609-4324
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STEPHA KSIONDA
Credential	:	OTR/L
Telephone Number	:	520-609-4324

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	02/09/2026

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