Organization Active NPI

The Kidd Choice Therapy Inc

  • Physical Therapist
  • Homestead, FL
National Provider Identifier
1588069579
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25083 Issued in FL
Legal business name
THE KIDD CHOICE THERAPY INC
Practice address
27335 SW 142ND Ave
Homestead, FL 33032-8854
Phone
(786) 662-9003
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Mr. Robert James Kidd, DPT
Title
Owner
Phone
(786) 662-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT25083 FL Primary

Addresses

Primary practice location

27335 SW 142ND Ave
Homestead, FL 33032-8854

Mailing address

27335 SW 142ND Ave
Homestead, FL 33032-8854
Phone (786) 662-9003

Other identifiers 1

IdentifierTypeStateIssuer
012014100MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1588069579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27335 SW 142ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328854",
            "telephone_number": "786-662-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27335 SW 142ND AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330328854",
            "telephone_number": "786-662-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDD CHOICE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-662-9003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012014100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.