# KINETIX PHYSICAL THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Salem Sportscare Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760123764
- **Authorized official:** DOMONIQUE RUSCITTI (BILLING & CONTRACTING SPECIALIST)
- **Authorized official phone:** (971) 274-2861

## Contact information

- **Practice address:** 3871 FAIRVIEW INDUSTRIAL DR SE STE 120, SALEM, OR 97302-1172
- **Practice address phone:** (503) 990-6393
- **Practice address fax:** (503) 794-0103
- **Mailing address:** 3871 FAIRVIEW INDUSTRIAL DR SE STE 120, SALEM, OR 97302-1172
- **Mailing address phone:** (503) 990-6393
- **Mailing address fax:** (503) 794-0103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/05/2022
- **Last updated:** 06/08/2022