Individual provider Active NPI

Kimberly Diane Hilditch, PT

  • Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1013984830
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4390 Issued in AZ
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

Updated by the provider on Jan 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
326111OtherAHCCCS
2Z2293OtherAZHEALTH NET
719049OtherAZAHCCCS
P00121650OtherAZRAILROAD MEDICARE
P02039084OtherAZRAILROAD MEDICARE
161706OtherAZASH
4428261OtherAZAETNA
326111OtherAZMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000104 AZ Practitioner - Physical Therapist in Private Practice 7719151125 Reassigns benefits to 1 organization

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
Valley Rehabilitation of Sun CityGroup PAC ID 0446513436, 4 clinicians

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 100Reported as individual
Quality
89.42
Improvement activities
40
Cost
66.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4390AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rehabilitation of Sun City Physical Therapist CurrentSince Nov 1, 2007 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.

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.

Verify at the official NPI Registry.