Kiwanis Foundation of the District of Columbia

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

PT870072 Issued in DC

Legal business name

KIWANIS FOUNDATION OF THE DISTRICT OF COLUMBIA

Doing business as

Kiwanis Orthopedic Clinic

Practice address

900 2ND St NE
Suite 306
Washington, DC 20002-3557

Phone

(202) 543-6840

Fax

(202) 543-6847

NPI assigned

Oct 14, 2010

Organization subpart

Yes

Parent organization

KIWANIS FOUNDATION OF THE DISTRICT OF COLUMBIAAs reported in NPPES

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

Authorized official

Name

Ms. Melissa P. Smith, P.T.

Title

Executive Director

Phone

(202) 543-6840

Specialties & licenses 1

Addresses

Other names 1

• Kiwanis Orthopedic Clinic Doing business as

Part of

Kiwanis Foundation of the District of Columbia

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1578873360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-543-6840",
            "fax_number": "202-543-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 2ND ST NE",
            "address_2": "SUITE 306",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023557",
            "telephone_number": "202-543-6840",
            "fax_number": "202-543-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIWANIS FOUNDATION OF THE DISTRICT OF COLUMBIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIWANIS FOUNDATION OF THE DISTRICT OF COLUMBIA",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "202-543-6840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "DC",
            "license": "PT870072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiwanis Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• ABA Shebe Kittoe, LGSW
• Brandy Kittrell
• Janay Kittrell
• Leah Kittrell
• Amina Kitwara
• Alexis Octavio Kladakis, M.D.
• Sydney Klaiman, PA
• Amy Klamberg
• Robert Scott Klappenbach, M.D.
• Constance Grace Klare, NP

• Rehabilitation Clinic/Center in Washington, DC
• Providers in Washington, DC by specialty
• Rehabilitation Clinic/Center in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.