Jonatan Anthonie Kikkert

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

12601 Issued in SC

Practice address

351 Oak Grove Rd
Spartanburg, SC 29301-2537

Phone

(864) 595-4225

NPI assigned

Dec 17, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1699582205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 MARTINGALE WAY",
            "city": "ROEBUCK",
            "state": "SC",
            "postal_code": "293762798",
            "telephone_number": "615-540-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 OAK GROVE RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012537",
            "telephone_number": "864-595-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKKERT",
        "first_name": "JONATAN",
        "middle_name": "ANTHONIE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "SC",
            "license": "12601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kidrowski, M.S. CCC-SLP
• Asif Salah Kidwai, M.D.
• Emma Kiekintveld, CPM
• Todd M Kihne, M.D.
• Kiki's Kare, LLC (Comfort Keepers 690)
• Jeremy Michael Kilburn, MD
• Victoria Smith Kilcawley, FNP-BC
• Geoffrey Scott Kilgore Jr., M.D.
• Haeche Kim, M.D.
• James D Kim, LMT

• Pediatric Physical Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Pediatric Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.