OrganizationActive
Kinetix Physical Therapy LLC
NPI 1760123764 · Physical Therapist · Salem, OR
Provider details
- NPI number
- 1760123764
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Domonique Ruscitti, Billing & Contracting Specialist(971) 274-2861
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3871 Fairview Industrial Dr Se Ste 120
Salem, OR 97302-1172
Phone: (503) 990-6393
Fax: (503) 794-0103
Street-level locationGet directions
Mailing address
3871 Fairview Industrial Dr Se Ste 120
Salem, OR 97302-1172
Other names (DBA / former)
- Doing business as
- Salem Sportscare Physical Therapy
- Doing business as
- Salem Sportscare Physical Therapy
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-06-08
- Certified
- 2022-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.