Active NPI
Allison Kidwell, P.T
- Physical Therapist
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10905
- Practice address
- 2121 W Elgin St
Chandler, AZ 85224-5608 - Phone
- (801) 942-3311
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10905 | AZ | Primary |
Addresses
Primary practice location
2121 W Elgin St
Chandler, AZ 85224-5608
Mailing address
3524 E Megan St
Gilbert, AZ 85295-3520
Phone (602) 621-3558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1255 N Arizona Ave
Unit 1217
Chandler, AZ 85225-0710
Phone (602) 380-6807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10905 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hari Krishna Health LLC | Physical Therapist | Current | Accepting new patients |
| Arizona Luna Care Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Desert Sun Physical Therapy, LLC | Past | Accepting new patients |
Locations
1807 E Queen Creek Rd
Ste 7
Chandler, AZ 85286
Phone (480) 361-4604
14050 N 83rd Ave
Ste 290
Peoria, AZ 85381
Phone (623) 261-1362
430 W Warner Rd
Ste 104
Tempe, AZ 85284
Phone (480) 785-0750
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.
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1922498500
-
- Physical Therapist
- Peoria, AZ
- NPI 1629698147
-
- Physical Therapist
- Chandler, AZ
- NPI 1912643016
-
- Physical Therapy Clinic/Center
- Chandler, AZ
- NPI 1831388388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1922411040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 E MEGAN ST",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953520",
"telephone_number": "602-621-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 W ELGIN ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245608",
"telephone_number": "801-942-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDWELL",
"first_name": "ALLISON",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "10905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.