NPIMap

Organization Active NPI

Kiddos Connection Physical Therapy

Doing business as Kiddos Connection PT

  • Early Intervention Provider Agency
  • Denver, CO
National Provider Identifier
1861800641
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
10816 Issued in CO
Legal business name
KIDDOS CONNECTION PHYSICAL THERAPY
Doing business as
Kiddos Connection PT
Practice address
4127 S Reading Way
Denver, CO 80237-2107
Phone
(309) 826-3758
NPI assigned
Jul 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Dr. Jonathan D Newberry, PT, DPTNPI 1396057402
Title
Owner
Phone
(309) 826-3758

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 10816 CO Primary

Addresses

Primary practice location

4127 S Reading Way
Denver, CO 80237-2107

Mailing address

4127 S Reading Way
Denver, CO 80237-2107
Phone (309) 826-3758

Other identifiers 1

IdentifierTypeStateIssuer
41227573MedicaidCO

Other names 1

  • Kiddos Connection PT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1861800641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 S READING WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372107",
            "telephone_number": "309-826-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 S READING WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372107",
            "telephone_number": "309-826-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDOS CONNECTION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-826-3758",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CO",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41227573",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiddos Connection PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kiddos Connection PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.