Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinetic Image Corp

Organization Physical Therapist · NPI 1205251915

Kinetic Image Corp is a Physical Therapist in Saint Johns, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1307 Whispering Pines Rd
Saint Johns, FL 32259-9186
Phone: (904) 635-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1205251915
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ingram-Mitchell — President · (904) 635-4638
NPI enumeratedMarch 4, 2014
Last updated in NPPESMarch 4, 2014
Mailing address450-106 State Road 13, 147, Saint Johns, FL 32259

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