Individual provider Active NPI

Heather Marie Kidder, PT

  • Physical Therapist
  • Fort Mill, SC
National Provider Identifier
1912211558
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8755 Issued in SC
Practice address
601 Sutton Rd S
Fort Mill, SC 29715-8439
Phone
(803) 909-6447
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8755 SC Primary

Addresses

Primary practice location

601 Sutton Rd S
Fort Mill, SC 29715-8439

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (803) 909-6447

Other practice location 1

197 Piedmont Blvd Ste 111
Rock Hill, SC 29732-1825
Phone (704) 323-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180103000799 SC Practitioner - Physical Therapist in Private Practice 5294850509 Reassigns benefits to 1 organization
I20200512001046 NC Practitioner - Physical Therapist in Private Practice 5294850509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Physical Therapist CurrentSince Nov 27, 2017 Accepting new patients
Orthocarolina Physical Therapist CurrentSince Nov 27, 2017 Accepting new patients
Orthocarolina CurrentSince Mar 1, 2020 Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

9101 Pineville Matthews Rd
Ste D
Pineville, NC 28134
Phone (704) 323-3300

601 Sutton Rd S
Fort Mill, SC 29715
Phone (803) 328-6306

601 Sutton Rd S
Ste 101
Fort Mill, SC 29715
Phone (803) 328-6306

2536 Lengers Way
Indian Land, SC 29707
Phone (803) 313-3294

197 Piedmont Blvd
Ste 111
Rock Hill, SC 29732
Phone (803) 327-3456

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1912211558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "803-909-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SUTTON RD S",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297158439",
            "telephone_number": "803-909-6447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "197 Piedmont Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297321825",
            "country_code": "US",
            "telephone_number": "704-323-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.