Kidnetic Energy,Inc
Kidnetic Energy,Inc is a healthcare organization registered as Physical Therapist in Evans, GA, holding Type 2 (organization) NPI 1578600391 since 2007. The authorized official on file is Tiffany Maguire, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578600391 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kidnetic Energy,Inc |
| Practice address | 536 GRAND SLAM DR, Evans, GA, 30809 |
| Phone | 7068548434 |
| Enumeration date | 2007-01-31 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Tiffany Maguire |
|---|---|
| Title | Office Manager |
| Phone | 7068548434 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | PT007370 | GA |
Copy-ready billing details
Provider: Kidnetic Energy,Inc NPI: 1578600391 Taxonomy: 225100000X (Physical Therapist) Address: 536 GRAND SLAM DR, Evans, GA, 30809
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1508089749 | Amy Tisdale | Individual | Orthopedic Physical Therapist | Evans, GA |
| 1457599672 | Teru Kassner | Individual | Occupational Therapist | Evans, GA |
| 1629396312 | Dana Stevenson | Individual | Speech-Language Pathologist | Evans, GA |
| 1912250382 | Krista Odom | Individual | Occupational Therapist | Evans, GA |
| 1700123163 | Allison Boggs | Individual | Speech-Language Pathologist | Evans, GA |
| 1962744326 | Laura Suppa | Individual | Occupational Therapist | Evans, GA |
| 1265775605 | Sherry Brown | Individual | Occupational Therapist | Evans, GA |
| 1376942508 | Elizabeth Peavy | Individual | Speech-Language Pathologist | Evans, GA |
Verify this record
Cross-check NPI 1578600391 against the authoritative CMS record: view Kidnetic Energy,Inc 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 type of organization is Kidnetic Energy,Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.