Organization Active NPI

Kids Possible Therapy L.L.C.

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1518170943
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3595 Issued in AZ
Legal business name
KIDS POSSIBLE THERAPY L.L.C.
Practice address
7009 W Pontiac Dr
Glendale, AZ 85308-9448
Phone
(623) 910-2398
Fax
(623) 561-9591
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly A Brown, PTNPI 1508901331
Title
Owner Physical Therapist
Phone
(623) 910-2398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 3595 AZ Primary

Addresses

Primary practice location

7009 W Pontiac Dr
Glendale, AZ 85308-9448

Mailing address

7009 W Pontiac Dr
Glendale, AZ 85308-9448
Phone (623) 910-2398

Other identifiers 1

IdentifierTypeStateIssuer
922981OtherAZAHCCCS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518170943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7009 W PONTIAC DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089448",
            "telephone_number": "623-910-2398",
            "fax_number": "623-561-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7009 W PONTIAC DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089448",
            "telephone_number": "623-910-2398",
            "fax_number": "623-561-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS POSSIBLE THERAPY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "623-910-2398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "922981",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.