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Kinetic Image Corp

Physical Therapist in Saint Johns, FL · enumerated 2014 · authorized official Kelly Ingram-Mitchell, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205251915

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Registry record

Entity type Organization (Type 2)
Legal business name Kinetic Image Corp
Practice address 1307 Whispering Pines Rd, Saint Johns, FL, 32259
Phone (904) 635-4638
Enumeration date Mar 4, 2014
Last updated in NPPES Mar 4, 2014

Taxonomy & classification

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Kelly Ingram-Mitchell
Title President
Phone (904) 635-4638

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kinetic Image Corp?
NPPES lists Kelly Ingram-Mitchell (President) as the authorized official for this organization.
What is the NPI number for Kinetic Image Corp?
The NPI for Kinetic Image Corp is 1205251915, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-03-04.