Active NPI
Kids Care Pediatric Therapies
- Pediatric Physical Therapist
- Springfield, MO
National Provider Identifier
1609330372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- KIDS CARE PEDIATRIC THERAPIES
- Practice address
- 1441 E Kearney St
Springfield, MO 65803-4101 - Phone
- (417) 812-5031
- NPI assigned
- Jan 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amanda K Hardin, LMT
- Title
- Owner
- Phone
- (417) 812-5031
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
1441 E Kearney St
Springfield, MO 65803-4101
Mailing address
1441 E Kearney St
Springfield, MO 65803-4101
Phone (417) 812-5031
Other names 1
- Kids Care Pediatric Therapies
National Provider Directory
National Provider DirectoryLocations
1948 S Glenstone Ave
Ste 104
Springfield, MO 65804
Phone (417) 812-5031
1441 E Kearney St
Springfield, MO 65803
Phone (417) 812-5031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Massage Therapist
- Springfield, MO
- NPI 1225592975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605139200000",
"number": "1609330372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 E KEARNEY ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034101",
"telephone_number": "417-812-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 E KEARNEY ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034101",
"telephone_number": "417-812-5031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS CARE PEDIATRIC THERAPIES",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-28",
"last_updated": "2020-11-12",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "HARDIN",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-812-5031",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kids Care Pediatric Therapies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kids Care Pediatric Therapies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.