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Kinetics Physical Therapy Prof Corp

Kinetics Physical Therapy Prof Corp is a healthcare organization registered as Physical Therapist in San Dimas, CA, holding Type 2 (organization) NPI 1205766714 since 2026. The authorized official on file is Melinda Peloquin, Credentialing Manager.

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NPI 1205766714
Entity type Organization (Type 2)
Legal business name Kinetics Physical Therapy Prof Corp
Practice address 406 W 5TH ST, San Dimas, CA, 91773
Phone 9092882670
Fax 5203722043
Enumeration date 2026-05-19
Last updated in NPPES 2026-06-04

Authorized official

Name Melinda Peloquin
Title Credentialing Manager
Phone 9492155008

Taxonomy & classification

Taxonomy code Specialty Primary License State
2251X0800X Orthopedic Physical Therapist Secondary
2251H1300X Human Factors Physical Therapist Secondary
2251N0400X Neurology Physical Therapist Secondary
225100000X Physical Therapist Primary
Copy-ready billing details
Provider: Kinetics Physical Therapy Prof Corp
NPI: 1205766714
Taxonomy: 225100000X (Physical Therapist)
Address: 406 W 5TH ST, San Dimas, CA, 91773

Providers at this address

NPI Name Type Specialty Location
1497031082 Shalinni Pasula Individual Physical Therapist San Dimas, CA
1851930408 Aviinaash Pasula Individual Physical Therapy Assistant San Dimas, CA

Verify this record

Cross-check NPI 1205766714 against the authoritative CMS record: view Kinetics Physical Therapy Prof Corp on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Kinetics Physical Therapy Prof Corp?
The NPI for Kinetics Physical Therapy Prof Corp is 1205766714, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Kinetics Physical Therapy Prof Corp?
NPPES lists Melinda Peloquin (Credentialing Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-06-04.