Kids in Motion Physical Therapy, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KIDS IN MOTION PHYSICAL THERAPY, PC

Doing business as

All About Kids Pediatric Therapy
Total Physical Therapy

Practice address

110 Tibbetts Dr Ste 123
Ponderay, ID 83852-9812

Phone

(208) 255-7337

Fax

(208) 561-9705

NPI assigned

Oct 3, 2006

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Traci D Schmidt, PTNPI 1689763674

Title

President

Phone

(208) 255-6693

Specialties & licenses 8

Addresses

Other identifiers 2

Other names 2

• All About Kids Pediatric Therapy Doing business as
• Total Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather P Lien, DPT

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1306072830
  Medicare reassignment Care Compare group NPD
• Deborah D Ruehle, M.P.T.

  • Orthopedic Physical Therapist
  • Sandpoint, ID
  • NPI 1326367459

  Geriatrics

  Medicare reassignment Care Compare group NPD
• Traci D Schmidt, PT

  • Pediatric Physical Therapist
  • Ponderay, ID
  • NPI 1689763674
  Medicare reassignment NPD Authorized official
• Herald E Schmidt, PT

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1053469429
  Medicare reassignment Care Compare group
• Kristin Arvidson, PT, DPT

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1972020568
  Medicare reassignment NPD
• Rebecca Lea Withers, HSW

  • Occupational Therapy Assistant
  • Ponderay, ID
  • NPI 1700052479
  NPD
• Melissa Leigh Bilyeu, DPT

  • Physical Therapist
  • Ponderay, ID
  • NPI 1982920070
  NPD (past)
• Emily Johnson, OT

  • Occupational Therapist
  • Sandpoint, ID
  • NPI 1851613640
  NPD (past)
• Erin E. McClure, P.T.

  • Physical Therapist
  • Sandpoint, ID
  • NPI 1376760017
  NPD (past)
• Danielle Mae Meehan, OT

  • Occupational Therapist
  • Sandpoint, ID
  • NPI 1578002945
  NPD (past)
• Sarah Vittum Miller, SLP

  • Speech-Language Pathologist
  • St Maries, ID
  • NPI 1619325594
  NPD (past)
• Jordyn Leeann Phillips, OTR/L

  • Occupational Therapist
  • Sandpoint, ID
  • NPI 1720543796
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1730273137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 MICHIGAN ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641745",
            "telephone_number": "208-255-6693",
            "fax_number": "208-265-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TIBBETTS DR STE 123",
            "city": "PONDERAY",
            "state": "ID",
            "postal_code": "838529812",
            "telephone_number": "208-255-7337",
            "fax_number": "208-561-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Michigan St",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641745",
            "country_code": "US",
            "telephone_number": "208-265-0534",
            "fax_number": "208-265-0875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS IN MOTION PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-255-6693",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807409400",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "9974",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Kids Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Ponderay, ID
• Providers in Ponderay, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.