Marcia W Kidder, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0274 Issued in MS

Practice address

391 Southcrest Cir
Suite 205
Southaven, MS 38671-6730

Phone

(662) 536-0900

Fax

(662) 536-0914

NPI assigned

Feb 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Rehabilitation of Senatobia IncGroup PAC ID 8325078587, 3 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.

• Cornerstone Rehabilitation of Senatobia Inc

  • Physical Therapist
  • Senatobia, MS
  • NPI 1043246192
  Medicare reassignment Care Compare group NPD
• Cornerstone Rehabilitation of Batesville Inc

  • Physical Therapist
  • Batesville, MS
  • NPI 1639114390
  Medicare reassignment NPD
• Cornerstone Rehabilitation of Hernando

  • Physical Therapist
  • Hernando, MS
  • NPI 1043640733
  Medicare reassignment NPD
• Cornerstone Rehabilitation, Inc

  • Physical Therapist
  • Water Valley, MS
  • NPI 1093751539
  Medicare reassignment NPD
• Mississippi Orthopaedics & Sports Medicine, PLLC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1437299344
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1306015185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 205",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-536-0900",
            "fax_number": "662-536-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 205",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-536-0900",
            "fax_number": "662-536-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "MARCIA",
        "middle_name": "W",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT0274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nicole Keys, O.D.
• Fazila Khaliq, MD
• Nabeel Hasan Khan, M.D.
• Shan Khan, D.O.
• Caroline Kidder
• Kidney Disease Consultants, P.C.
• Kimberly Rachelle Kilpatrick, RD, LD
• Nikara Kilpatrick, P.A.
• Chris Kim
• Lachasity Kimmons, FNP-C

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.