Coastal Kids Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

COASTAL KIDS PHYSICAL THERAPY, LLC

Practice address

849 Summer Hill Rd
Madison, CT 06443-1695

Phone

(518) 281-0877

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kali Penders, DPTNPI 1770765018

Title

Ceo

Phone

(518) 281-0877

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kali Nicole Penders, DPT

  • Pediatric Physical Therapist
  • Springfield, MA
  • NPI 1770765018

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1033935713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 SUMMER HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431695",
            "telephone_number": "518-281-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 SUMMER HILL RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431695",
            "telephone_number": "518-281-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL KIDS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "PENDERS",
        "authorized_official_first_name": "KALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-281-0877",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clear the Way Counseling LLC (Take Action Art Therapy)
• Shauna Irene Clifford, SLP-CCC
• Clinical Social Work Services LLC
• Coastal Chiropractic & Wellness Inc.
• Coastal Counseling Associates, LLC
• Caytlin Cobb, LCSW
• Scott W Cochran, LCSW
• Collaborative Healing Consultants LLC (The Healing Collective Concierge)
• Donna Baldwin Colquhoun, A.P.R.N.
• Compassionate Psychiatric Care, LLC

• Pediatric Physical Therapist in Madison, CT
• Providers in Madison, CT by specialty
• Pediatric Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.