OrganizationActive
Kinetic Kids, Inc.
NPI 1891949707 · Comprehensive Outpatient Rehabilitation Facility (CORF) · Charlotte, NC
Provider details
- NPI number
- 1891949707
- Entity type
- Organization
- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffani Bacon, Co-Founder & Physical Therapist(704) 807-5699
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
- Augmentative Communication Clinic/Center261QA3000X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Hearing and Speech Clinic/Center261QH0700X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
1016 Euclid Ave
Charlotte, NC 28203-4520
Phone: (704) 807-5699
Fax: (704) 631-4574
Approximate (ZIP-level) locationGet directions
Mailing address
9611 Brookdale Dr
Charlotte, NC 28215-8719
Registry dates
- Enumerated
- 2008-11-05
- Last updated
- 2015-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.