Provider Demographics
NPI:1508305152
Name:KINOFIT PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:KINOFIT PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMAR
Authorized Official - Middle Name:DOMONIC
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:816-433-0988
Mailing Address - Street 1:13131 GREEN VIOLET DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7215
Mailing Address - Country:US
Mailing Address - Phone:813-433-0988
Mailing Address - Fax:813-441-7744
Practice Address - Street 1:5135 W CYPRESS ST STE 103
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-1731
Practice Address - Country:US
Practice Address - Phone:813-433-0988
Practice Address - Fax:813-441-7744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty