Paul James Kidger, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

25581 Issued in CA

Practice address

1375 Blossom Hill Rd Ste 33
San Jose, CA 95118-3825

Phone

(408) 784-7167

NPI assigned

Feb 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agile Physical Therapy IncGroup PAC ID 2163311556, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Agile Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Palo Alto, CA
  • NPI 1659445443
  Medicare reassignment Care Compare group NPD
• Competitive Edge Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • San Jose, CA
  • NPI 1760229884
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1235638818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 LOMA VERDE DR APT 28",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 BLOSSOM HILL RD STE 33",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183825",
            "telephone_number": "408-784-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDGER",
        "first_name": "PAUL",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "25581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT PHYSICAL THERAPY",
            "identifier": "-",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Kibuh, NP
• Colleen Kichula, MS,CCC-SLP
• Kidango
• Kidango
• Patricia McGinnis Kidd, MFCC
• Rex Y Kido, DDS
• Kids Korner Medical Supply
• Kids Overcoming, LLC
• Kidscope
• Kourtney Kientzy

• Orthopedic Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.