Kid's Play Physical Therapy, LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

7907 Issued in CO

Legal business name

KID'S PLAY PHYSICAL THERAPY, LLC

Practice address

16216 Sequoia Dr
Parker, CO 80134-3549

Phone

(720) 933-4284

NPI assigned

Dec 11, 2017

Last updated

Jan 25, 2018By 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

Heidi J Dejager, MSPTNPI 1861680159

Title

Owner, Physical Therapist

Phone

(720) 933-4284

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Heidi Jo Dejager, MSPT

  • Pediatric Physical Therapist
  • Parker, CO
  • NPI 1861680159

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1568977726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 SEQUOIA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343549",
            "telephone_number": "720-933-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16216 SEQUOIA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343549",
            "telephone_number": "720-933-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KID'S PLAY PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "DEJAGER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "720-933-4284",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CO",
            "license": "7907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000156544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Key Transit, LLC (Key Transit)
• Bakht Biland Khan, PMHNP, APRN
• Natalie Kristine Khan, LCSW
• Angela Marie Kibble, M.A.
• Virginia Elaine Kibler, PHD
• Kids N Joy Therapy LLC
• Kids Tooth Doc - Parker
• Yvette L Killingsworth, DDS
• April Kim, LPC, LAC
• Christopher Kim

• Pediatric Physical Therapist in Parker, CO
• Providers in Parker, CO by specialty
• Pediatric Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.