Kelly Hidalgo, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

7123 Issued in GA

Practice address

122 Strother PL
St Simons Island, GA 31522-1876

Phone

(678) 463-6621

Fax

(912) 466-7233

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1710046503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STROTHER PL",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221876",
            "telephone_number": "678-463-6621",
            "fax_number": "912-466-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STROTHER PL",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221876",
            "telephone_number": "678-463-6621",
            "fax_number": "912-466-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIDALGO",
        "first_name": "KELLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "7123",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937087C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000937087A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERPAY LICENSE",
            "identifier": "7123",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen D. Hendrix, LPC
• John Arthur Hendry, D.D.S.
• Laura Hepner, LMT; MR; CST
• HHC St. Simons Inc (Focus By the Sea)
• Carlton T Hicks, O.D.
• Janet Arnold Higginbotham, DDS
• Lurlyne Wommack Holland, OTR, CHT
• Leanna Meade Hollander, DO
• Brenda B Hollis, LPC
• Home & Mobility Solutions, Inc.

• Pediatric Physical Therapist in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.