Organization Active NPI

Superkids PT LLC

  • Physical Therapy Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1104609130
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SUPERKIDS PT LLC
Practice address
4701 Baptist Rd Ste 212a
Pittsburgh, PA 15227-1176
Phone
(412) 334-4790
Fax
(412) 365-5614
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Kristin Camille Lodico, DPTNPI 1932414372
Title
Physical Therapist
Phone
(412) 334-4790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4701 Baptist Rd Ste 212a
Pittsburgh, PA 15227-1176

Mailing address

4701 Baptist Rd Ste 212a
Pittsburgh, PA 15227-1176
Phone (412) 334-4790

National Provider Directory

National Provider Directory
Tax ID family
Kristin Lodico2 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.

Locations

4701 Baptist Rd
Ste 212A
Pittsburgh, PA 15227
Phone (412) 334-4790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1104609130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 BAPTIST RD STE 212A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152271176",
            "telephone_number": "412-334-4790",
            "fax_number": "412-365-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 BAPTIST RD STE 212A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152271176",
            "telephone_number": "412-334-4790",
            "fax_number": "412-365-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERKIDS PT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-11",
        "status": "A",
        "authorized_official_last_name": "LODICO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "412-334-4790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.