Widelo Kids Therapy LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

WIDELO KIDS THERAPY LLC

Practice address

340 Greening LN
Winchester, KY 40391-8644

Phone

(859) 749-9305

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By 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

Deborah Louise Widelo, DPTNPI 1821174806

Title

Doctor of Physical Therapy

Phone

(859) 749-9305

Specialties & licenses 1

Addresses

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.

• Deborah Louise Widelo, PT, MS, PCS

  • Physical Therapist
  • Winchester, KY
  • NPI 1821174806
  NPD Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1891205175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4561",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403924561",
            "telephone_number": "859-749-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GREENING LN",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403918644",
            "telephone_number": "859-749-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDELO KIDS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "WIDELO",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "859-749-9305",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Webster, OD
• Peggy McPherson Wells, LMT, CMA
• Brandon Michael White, B.S., AT-C
• Cynthia Louise Whiteside, LPCA
• Lyndsay Whitlock, PT, DPT
• Deborah Louise Widelo, PT, MS, PCS
• Kyle Michael Wiedemer, PA-C
• Lisa Marline Wiley
• William L. Cooper, M.D., PLLC
• Amy Wood Williams, RD, LD

• Early Intervention Provider Agency in Winchester, KY
• Providers in Winchester, KY by specialty
• Early Intervention Provider Agency in Kentucky

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