Individual provider Active NPI

Sidney M Kingery, PT, DPT

  • Physical Therapist
  • Glendale, AZ
National Provider Identifier
1679098420
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33075 Issued in AZ
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

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171026003515 AZ Practitioner - Physical Therapist in Private Practice 8325313554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13203AZMDPharmacotherapy Pharmacist
33075AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 15, 2024 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 15, 2024 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.

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.

Verify at the official NPI Registry.