Aimee Kiddy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA20722 Issued in FL

Practice address

14866 Tamiami TRL
Suite a-204
North Port, FL 34287-2701

Phone

(941) 423-7705

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Step Up Physical Therapy & Rehabilitation, Inc

  • Physical Therapist
  • North Port, FL
  • NPI 1912073875
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1205185972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 PENFIELD TER",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342886895",
            "telephone_number": "941-423-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14866 TAMIAMI TRL",
            "address_2": "SUITE A-204",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872701",
            "telephone_number": "941-423-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDY",
        "first_name": "AIMEE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA4671",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey House Aprn Inc
• Kelsey House, Aprn LLC
• Rashana Kennedy Reid
• Withney Kenol
• Cali Kervin
• Kaitlyn King
• Matthew King, DMD
• Nichole Christine Kisgen, COTA
• Peter Antal Kiss, DC
• KJ Arrow LLC (1st Ride)

• Physical Therapy Assistant in North Port, FL
• Providers in North Port, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.