Kids in Motion Therapy Clinic

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

603307514 Issued in WA

Legal business name

KIDS IN MOTION THERAPY CLINIC

Practice address

4152 Meridian St Ste 105
PMB 17
Bellingham, WA 98226-5589

Phone

(412) 444-5437

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Erwin Castillo

Title

President

Phone

(412) 444-5347

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Kids in Motion Therapy Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kids in Motion Therapy Clinic

  • Multi-Specialty Clinic/Center
  • Ferndale, WA
  • NPI 1811337850
  NPD tax ID

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1053863035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN STREET, SUITE 105",
            "address_2": "PMB 17",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "412-444-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 MERIDIAN ST STE 105",
            "address_2": "PMB 17",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265589",
            "telephone_number": "412-444-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS IN MOTION THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ERWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-444-5347"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "WA",
            "license": "603307514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054712",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danial Khan
• Muneera Khan
• Jaspreet S Khehra, ARNP
• Leanne Kibbee
• Stacey Kidrick
• Louisa M Kienhuis, MHCA
• Gregery Kienzle, M.D.
• Ann I Kiesau, MD
• Carter David Kiesau, M.D.
• Geraldine A Kildow, ARNP

• Rehabilitation Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.