Active NPI
Mitchell Kidd, PT, DPT
- Physical Therapist
- Overland Park, KS
National Provider Identifier
1003746140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-08135
- Practice address
- 10800 Farley St Ste 130
Overland Park, KS 66210-1418 - Phone
- (785) 633-8505
- NPI assigned
- May 20, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-08135 | KS | Primary |
Addresses
Primary practice location
10800 Farley St Ste 130
Overland Park, KS 66210-1418
Mailing address
10800 Farley St Ste 130
Overland Park, KS 66210-1418
Phone (785) 633-8505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10800 Farley St
Suite 150
Overland Park, KS 66210-1418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-08135 | KS | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1003746140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 FARLEY ST STE 130",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101418",
"telephone_number": "785-633-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 FARLEY ST STE 130",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101418",
"telephone_number": "785-633-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "MITCHELL",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-08135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.