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Kinetic Kids, Inc.

Comprehensive Outpatient Rehabilitation Facility (CORF) in Charlotte, NC · enumerated 2008 · authorized official Tiffani Bacon, Co-Founder & Physical Therapist.

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

National Provider Identifier

1891949707

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Registry record

Entity type Organization (Type 2)
Legal business name Kinetic Kids, Inc.
Practice address 1016 Euclid Ave, Charlotte, NC, 28203
Phone (704) 807-5699
Fax (704) 631-4574
Enumeration date Nov 5, 2008
Last updated in NPPES Aug 20, 2015

Taxonomy & classification

251E00000X Home Health Agency Agencies Secondary
252Y00000X Early Intervention Provider Agency Agencies Secondary
261QA3000X Augmentative Communication Clinic/Center Ambulatory Health Care Facilities Secondary
261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0700X Hearing and Speech Clinic/Center Ambulatory Health Care Facilities Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0400X Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary
261QR0401X Comprehensive Outpatient Rehabilitation Facility (CORF) Ambulatory Health Care Facilities Primary

Authorized official

Name Tiffani Bacon
Title Co-Founder & Physical Therapist
Phone (704) 807-5699

Other identifiers

Identifier Type State Issuer
7200262 Medicaid NC -

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-08-20. Verify at npiregistry.cms.hhs.gov.
Where is Kinetic Kids, Inc. located?
The practice location on file with NPPES is in Charlotte, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-08-20.