Active NPI
Kimberly Diane Hilditch, PT
- Physical Therapist
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4390
- Practice address
- 14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290 - Phone
- (623) 546-6712
- Fax
- (623) 546-6739
- NPI assigned
- Mar 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 4390 | AZ | Primary |
Addresses
Primary practice location
14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290
Mailing address
14418 W Meeker Blvd Ste 103
Sun City West, AZ 85375-5290
Phone (623) 546-6712
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326111 | Other | AHCCCS | |
| 2Z2293 | Other | AZ | HEALTH NET |
| 719049 | Other | AZ | AHCCCS |
| P00121650 | Other | AZ | RAILROAD MEDICARE |
| P02039084 | Other | AZ | RAILROAD MEDICARE |
| 161706 | Other | AZ | ASH |
| 4428261 | Other | AZ | AETNA |
| 326111 | Other | AZ | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14418 W Meeker Blvd
Suite 103
Sun City West, AZ 85375-5290
Phone 6235466712101
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.63 of 100
- Quality
- 89.42
- Improvement activities
- 40
- Cost
- 66.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4390 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Rehabilitation of Sun City | Physical Therapist | Current | Accepting new patients |
Locations
13128 N 94th Dr
Ste 207
Peoria, AZ 85381
Phone (623) 974-1797
14300 W Granite Valley Dr
Ste E21
Sun City West, AZ 85375
Phone (623) 546-6712
14418 W Meeker Blvd
Ste 103
Sun City West, AZ 85375
Phone (623) 546-6712
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Sun City West, AZ
- NPI 1942728340
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1013984830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14418 W MEEKER BLVD STE 103",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755290",
"telephone_number": "623-546-6712",
"fax_number": "623-546-6739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14418 W MEEKER BLVD STE 103",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755290",
"telephone_number": "623-546-6712",
"fax_number": "623-546-6739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDITCH",
"first_name": "KIMBERLY",
"middle_name": "DIANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "4390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "326111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2Z2293",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "719049",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00121650",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P02039084",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASH",
"identifier": "161706",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4428261",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "326111",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.