Active NPI
Kim Weldon Idol, PT
- Physical Therapist
- High Point, NC
National Provider Identifier
1407001761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11599
- Practice address
- 630 Whittier Ave
High Point, NC 27262-8049 - Phone
- (336) 870-2143
- NPI assigned
- Nov 29, 2008
- Last updated
- Apr 20, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P11599 | NC | Primary |
Addresses
Primary practice location
630 Whittier Ave
High Point, NC 27262-8049
Mailing address
630 Whittier Ave
High Point, NC 27262-8049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P11599 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1407001761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 WHITTIER AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272628049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 WHITTIER AVE",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272628049",
"telephone_number": "336-870-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IDOL",
"first_name": "KIM",
"middle_name": "WELDON",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-11-29",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
- Rachel Anne Hutton-Orr, PA-C
- Karen T. Hyneck, LCMHC
- I Can Counseling & Recovery Services, PLLC
- Dorrette Jon Ibazebo, D.D.S.
- John Brent Idol
- Benjamin Maduakonam Igwemezie, M.D.
- Shehab Foiz Imam, DO
- Jennifer K Incillo
- Independent Living With Teresa
- Infinity Psychiatric and Integrative Medical Services, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.