Courtney Smith Kidwell, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1169663 Issued in TX

Practice address

1901 Babcock Rd Ste 204
San Antonio, TX 78229-4546

Phone

(210) 342-5300

NPI assigned

Mar 1, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Forte Physical Therapy

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1932366838
  NPD (past)
• Forte Rehabilitation and Wellness Center, Inc

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1225129323

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467580670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 COUNTY ROAD 2720",
            "city": "MICO",
            "state": "TX",
            "postal_code": "780565400",
            "telephone_number": "903-372-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294546",
            "telephone_number": "210-342-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDWELL",
        "first_name": "COURTNEY",
        "middle_name": "SMITH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidney Treatment Center San Antonio Inc
• Kids Smile, PC
• Kids Teeth, PLLC
• Kids World Pediatric Dentistry
• Kidsteps Pediatric Therapy Center, P. C.
• Marney B Kidwell, R.N., WHNP
• Kidz Medical Supply LLC
• Kidz Now Urgent Care PLLC
• Kidz Treehouse Pediatric Therapy, LLC.
• Naya Kiefer

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.