Kid Goals Pediatric Physical Therapy, Inc

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

KID GOALS PEDIATRIC PHYSICAL THERAPY, INC

Practice address

619 W Ridgecrest Blvd Ste B
Ridgecrest, CA 93555-4065

Phone

(760) 428-8646

NPI assigned

Aug 16, 2024

Organization subpart

No

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

Authorized official

Name

Kimberly Behnke, PTNPI 1346427887

Title

Owner/Physical Therapist

Phone

(760) 428-8646

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Behnke, PT

  • Physical Therapist
  • Ridgecrest, CA
  • NPI 1346427887
  NPD Authorized official

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1417789645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PALM AVE",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181120",
            "telephone_number": "760-428-8646",
            "fax_number": "760-428-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 W RIDGECREST BLVD STE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554065",
            "telephone_number": "760-428-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID GOALS PEDIATRIC PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "BEHNKE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "760-428-8646",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jurian Feygen Kaunang, MD
• Jessika Keller
• Christina Kelley-Furst
• Amy L Kennedy
• Janice Kern
• Megan Marie Killian, MEGAN
• Doo Soo Kim
• Doyoung Kim, PHARMD
• Katherine Ellen Kirchner, MSAT, ATC
• Christine Klima

• Pediatric Physical Therapist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.