Organization Active NPI

Kids Care Pediatric Therapies

  • Pediatric Physical Therapist
  • Springfield, MO
National Provider Identifier
1609330372
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
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

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Mrs. Amanda K Hardin, LMTNPI 1225592975
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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.