Provider Demographics
NPI:1841481298
Name:CORE KINETICS INC
Entity type:Organization
Organization Name:CORE KINETICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:773-354-8383
Mailing Address - Street 1:15145 MICHELANGELO BLVD
Mailing Address - Street 2:#15-207
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-6019
Mailing Address - Country:US
Mailing Address - Phone:773-354-8383
Mailing Address - Fax:
Practice Address - Street 1:15145 MICHELANGELO BLVD
Practice Address - Street 2:#15-207
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-6019
Practice Address - Country:US
Practice Address - Phone:773-354-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT19200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty