NPIMap

Organization Active NPI

K.I.D.S. Therapy Associates, Inc., a Physical Therapy Corporation

Doing business as HealthPRO Pediatrics

  • Pediatric Physical Therapist
  • San Diego, CA
National Provider Identifier
1598724577
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
K.I.D.S. THERAPY ASSOCIATES, INC., A PHYSICAL THERAPY CORPORATION
Doing business as
HealthPRO Pediatrics
Practice address
11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413
Phone
(858) 673-5437
Fax
(858) 673-5434
NPI assigned
Mar 20, 2006
Last updated
Jan 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Authorized official

Name
Terra Scott, MSPTNPI 1720040348
Title
President-Pediatrics Division
Phone
(303) 437-4364

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X Primary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413

Mailing address

11838 Bernardo Plaza CT
Suite 110
San Diego, CA 92128-2413
Phone (858) 673-5437

Other practice location 1

41769 Enterprise Cir N Ste 104-105
Temecula, CA 92590-5626
Phone (951) 303-8255

Other practice location 2

2445 Truxtun Rd Ste 205
San Diego, CA 92106-6154
Phone (619) 633-2119

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ09413ZOtherCABLUE SHIELD OT PIN #
ZZZ09412ZOtherCABLUE SHIELD SPEECH PIN #
ZZZ09414ZOtherCABLUE SHIELD PT PIN #

Other names 1

  • HealthPRO Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

11838 Bernardo Plaza Ct
Ste 110
San Diego, CA 92128
Phone (858) 673-5434

Practitioners & affiliated clinicians

Practitioners 112

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.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705190400000",
    "number": "1598724577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282413",
            "telephone_number": "858-673-5437",
            "fax_number": "858-673-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11838 BERNARDO PLAZA CT",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282413",
            "telephone_number": "858-673-5437",
            "fax_number": "858-673-5434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41769 Enterprise Cir N Ste 104-105",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905626",
            "country_code": "US",
            "telephone_number": "951-303-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2445 Truxtun Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921066154",
            "country_code": "US",
            "telephone_number": "619-633-2119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "K.I.D.S. THERAPY ASSOCIATES, INC., A PHYSICAL THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRA",
        "authorized_official_title_or_position": "PRESIDENT-PEDIATRICS DIVISION",
        "authorized_official_telephone_number": "303-437-4364",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OT PIN #",
            "identifier": "ZZZ09413Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD SPEECH PIN #",
            "identifier": "ZZZ09412Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PT PIN #",
            "identifier": "ZZZ09414Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPRO Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2024; 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.