Active NPI
Sidney M Kingery, PT, DPT
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 33075
- Practice address
- 5810 W Peoria Ave
Glendale, AZ 85302 - Phone
- (623) 219-4242
- NPI assigned
- Aug 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 33075 | AZ | Primary |
Addresses
Primary practice location
5810 W Peoria Ave
Glendale, AZ 85302
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other practice location 1
5810 W Peoria Ave
Glendale, AZ 85302-1302
Phone (623) 219-4242
Other names 1
- Sidney M Kane
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13203 | AZ | MD | Pharmacotherapy Pharmacist |
| 33075 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Apex Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787
23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456
20045 N 19th Ave
Bldg 8
Phoenix, AZ 85027
Phone (623) 374-2424
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Buckeye, AZ
- NPI 1467129684
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Mesa, AZ
- NPI 1306361357
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518282474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1679098420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 W PEORIA AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85302",
"telephone_number": "623-219-4242"
}
],
"practiceLocations": [
{
"address_1": "5810 W Peoria Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853021302",
"country_code": "US",
"telephone_number": "623-219-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINGERY",
"first_name": "SIDNEY",
"middle_name": "M",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-12",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "33075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SIDNEY",
"last_name": "KANE",
"middle_name": "M",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.