NPIMap

Organization Active NPI

Kids Abilities Indiana, Inc.

  • Physical Therapy Clinic/Center
  • Greenwood, IN
National Provider Identifier
1922384080
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KIDS ABILITIES INDIANA, INC.
Practice address
1788 Windward Dr
Greenwood, IN 46143-8408
Phone
(651) 470-1567
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Jennifer Sargent, PT
Title
Vice President
Phone
(651) 451-3016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1788 Windward Dr
Greenwood, IN 46143-8408

Mailing address

490 Highway 96 W
Suite 300
Shoreview, MN 55126-1960
Phone (651) 451-3016

National Provider Directory

National Provider Directory

Locations

6825 Madison Ave
Ste A
Indianapolis, IN 46227
Phone (317) 851-8419

Practitioners & affiliated clinicians

Practitioners 12

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": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1922384080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 HIGHWAY 96 W",
            "address_2": "SUITE 300",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551261960",
            "telephone_number": "651-451-3016",
            "fax_number": "651-481-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 WINDWARD DR",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438408",
            "telephone_number": "651-470-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ABILITIES INDIANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "SARGENT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "651-451-3016",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.