Misty N. Kildow, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003399 Issued in WV

Practice address

1 Medical Park
Pediatric Rehabilitation
Wheeling, WV 26003-6379

Phone

(304) 243-8310

Fax

(304) 243-8430

NPI assigned

Nov 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Misty N. Tweedlie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wheeling Hospital Inc

  • Family Medicine Physician
  • Wheeling, WV
  • NPI 1548923923
  NPD
• Wheeling Hospital, Inc.

  • Anesthesiology Physician
  • Wheeling, WV
  • NPI 1922282581
  NPD (past)

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1962168518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "PATIENT ACCOUNTING - CREDENTIALING",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-8310",
            "fax_number": "304-243-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "PEDIATRIC REHABILITATION",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-8310",
            "fax_number": "304-243-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDOW",
        "first_name": "MISTY",
        "middle_name": "N.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "TWEEDLIE",
            "middle_name": "N.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nasir A Khan, MD
• Khoury Surgical Group, Inc.
• Rajai T Khoury, MD
• Nikki C Kiger, MPT
• Tyler Jack Kilbane, LPC
• Kendyl A Kimberly
• Jessica Opal Kimble
• Tracey Stuart Kinder
• Joe King
• Kourtney Bell King, MD

• Physical Therapist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.