Kid Physical LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

KID PHYSICAL LLC

Practice address

18885 E Easter PL
Centennial, CO 80016-2136

Phone

(860) 593-6868

NPI assigned

Aug 8, 2020

Last updated

Dec 23, 2020By 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

Kristy MillerNPI 1164779625

Title

President

Phone

(860) 593-6868

Specialties & licenses 2

Addresses

Locations

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.

• Kristy M Miller

  • Pediatric Physical Therapist
  • Parker, CO
  • NPI 1164779625
  NPD Authorized official

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

{
    "created_epoch": "1596844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1053921502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 E ARAPAHOE RD STE 146",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161557",
            "telephone_number": "860-593-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18885 E EASTER PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800162136",
            "telephone_number": "860-593-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID PHYSICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-08",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-593-6868"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Key Autism Services Co, LLC
• Amel Khalife, MS, BCBA, LBA
• Lisa Michelle Khan, PT
• Yousaf Khan
• Ava Beheshteh Khodakhast, D.D.S.
• Kids Mobility Network, Inc.
• Shelby Burnette Kiernan, LMFT
• Boyun Kim, ACUPUNCTURIST
• Geoffrey Kim
• Hyo Kim

• Rehabilitation Clinic/Center in Centennial, CO
• Providers in Centennial, CO by specialty
• Rehabilitation Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.