Active NPI
Drew Kidwell, DPT
- Physical Therapist
- Durham, NC
National Provider Identifier
1699329631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18888
- Practice address
- 2609 N Duke St Ste 203
Durham, NC 27704-3048 - Phone
- (919) 220-6532
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- 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 | P18888 | NC | Primary |
Addresses
Primary practice location
2609 N Duke St Ste 203
Durham, NC 27704-3048
Mailing address
706 Linwood Ave
Durham, NC 27701-4430
Phone (919) 280-5760
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Concierge Physical Therapy | Current | Accepting new patients | |
| Proactive Therapy of North Carolina Inc | Past | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Durham, NC
- NPI 1043091564
-
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
-
- Rehabilitation Clinic/Center
- Bethany, OK
- NPI 1437110020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1699329631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 LINWOOD AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277014430",
"telephone_number": "919-280-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST STE 203",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-220-6532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDWELL",
"first_name": "DREW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Kiddle Prep School, Inc
- Kids N Heart
- Kidspeace National Centers of North America Inc
- Kidspeace National Centers of North America, Inc
- Kidspeace National Centers of North America, Inc.
- Michelle Aislinn Kidwiler, RN
- Annmarie Louise Kieber-Emmons
- Lydia A Kiefer
- Sarah Lynn Kiefer, MA, SLP
- Todd Kiefer, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.