Kid Strides Physical Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

KID STRIDES PHYSICAL THERAPY LLC

Practice address

9880 Navy Pier St
Portage, MI 49002-8262

Phone

(269) 779-3842

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Barbara Wesolowski, PT

Title

Physical Therapist

Phone

(269) 779-3842

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1093307548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9880 NAVY PIER ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490028262",
            "telephone_number": "269-779-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 NAVY PIER ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490028262",
            "telephone_number": "269-779-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID STRIDES PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "WESOLOWSKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "269-779-3842",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Kerby, PHD
• Keszei Vision Care, PLC
• Vincent Andrew Keszei, M.D.
• Joshua Kettlewell, PT, DPT
• Kevin J. Kelly MD, PC
• Amber Kidder
• Sheryl Lynn Kiel, MA LLP
• Stanislava Kier, LLPC
• Daniel Kik, HIS
• Kinetic Kids, LLC

• Pediatric Physical Therapist in Portage, MI
• Providers in Portage, MI by specialty
• Pediatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.