Individual provider Active NPI

Allison Kidwell, P.T

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1922411040
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10905 Issued in AZ
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

Updated by the provider on Jun 5, 2014

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 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

Enrollment IDStateProvider typePAC IDDetails
I20240102002975 AZ Practitioner - Physical Therapist in Private Practice 5991155079 Reassigns benefits to 3 organizations

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
Capptcg, LLCGroup PAC ID 2668770157, 30 clinicians

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

LicenseStateTypeSpecialty
10905AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hari Krishna Health LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Arizona Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Aug 15, 2025 Accepting new patients
Desert Sun Physical Therapy, LLC PastSince Dec 1, 2023 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.

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.

Verify at the official NPI Registry.