Kineticx Physical Therapy & Performance P C
NPI 1790578177 · Physical Therapist · San Clemente, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kineticx Physical Therapy & Performance P C is a Physical Therapist organization in San Clemente, CA (NPI 1790578177).
Provider details
- NPI number
- 1790578177
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Renee Cullen, President(909) 973-6153
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Frequently asked questions
- What is Kineticx Physical Therapy & Performance P C's NPI number?
- Kineticx Physical Therapy & Performance P C's National Provider Identifier (NPI) is 1790578177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kineticx Physical Therapy & Performance P C?
- Kineticx Physical Therapy & Performance P C is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kineticx Physical Therapy & Performance P C located?
- Kineticx Physical Therapy & Performance P C's practice location on file with NPPES is 213 W Escalones # B, San Clemente, CA 92672-5102.
- What is Kineticx Physical Therapy & Performance P C's phone number?
- The practice phone number listed in the NPPES registry for Kineticx Physical Therapy & Performance P C is (909) 973-6153.
- Does Kineticx Physical Therapy & Performance P C accept Medicare?
- Kineticx Physical Therapy & Performance P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kineticx Physical Therapy & Performance P C?
- The authorized official listed on Kineticx Physical Therapy & Performance P C's NPPES record is Renee Cullen, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kineticx Physical Therapy & Performance P C's NPI active?
- Yes — Kineticx Physical Therapy & Performance P C's NPI (1790578177) is active in the NPPES registry as of the last update on 2025-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.