Kids on the Go Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24707 Issued in CA

Legal business name

KIDS ON THE GO PHYSICAL THERAPY INC.

Practice address

7629 Girard Ave
Ste 201
La Jolla, CA 92037-0076

Phone

(773) 495-6522

Fax

(858) 255-8364

NPI assigned

Jan 29, 2008

Last updated

Jan 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Hermes, P.T.NPI 1518028547

Title

Physical Therapist/ Owner

Phone

(773) 495-6522

Specialties & licenses 2

Addresses

Other names 1

• Kids on the Go Therapies Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary E Hermes, M.S.P.T.

  • Physical Therapist
  • La Jolla, CA
  • NPI 1518028547
  NPD (past) Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1386821619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 GIRARD AVE",
            "address_2": "STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370076",
            "telephone_number": "773-495-6522",
            "fax_number": "858-255-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 GIRARD AVE",
            "address_2": "STE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370076",
            "telephone_number": "773-495-6522",
            "fax_number": "858-255-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ON THE GO PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "HERMES",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "773-495-6522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24707",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "24707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids on the Go Therapies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mahta Melody Khojasteh
• Jenna Khoury, D.M.D.
• Kimberly Nicole Khoury, M.D.
• Yevheniya Khrobust, FNP
• Shipra Khushu, M.D.
• Sophia Magdeline Kiefer, M.D.
• Sawyer Kieffer, MD
• Kiersten L Riedler MD Corp
• Don O. Kikkawa, M.D.
• Mara Devin Killen, DNP, WHNP

• Physical Therapist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.