PAUL JAMES KIDGER (NPI# 1235638818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235638818 |
| Entity Type | Individual |
| Full Name | PAUL JAMES KIDGER |
| Credential | PT |
| Practice Address |
1375 Blossom Hill Rd Ste 33 San Jose CA 95118-3825 |
| Mailing Address |
3121 Loma Verde Dr Apt 28 San Jose CA 95117-3834 |
| Practice Telephone | 4087847167 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25581 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OUTPATIENT PHYSICAL THERAPY | - | 01 |
| Street Address |
1375 BLOSSOM HILL RD STE 33 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95118-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833435 | Dana Lindberg | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2020-08-26 |
| 1548807811 | Pablo Luis Borceguin Jr. | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2019-12-05 |
| 1508338245 | Joshua Tatsuno | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235620907 | Misty Henne-bhullar Dmd Inc. | Dentist | 4984 Cherry Ave, San Jose, CA 95118 | 2018-05-29 |
| 1770013096 | Eunju Bang | Acupuncturist | 3315 Almaden Expy Ste 27, San Jose, CA 95118 | 2017-06-19 |
| 1306299391 | Satellite Healthcare Inc | Clinic/Center | 1450 Kooser Road, San Jose, CA 95118 | 2016-07-14 |
| 1881060739 | Brittany Star Curry | Physical Therapist | 3150 Almaden Expy Ste 120, San Jose, CA 95118 | 2015-08-14 |
| 1154690188 | Carrie Herbst | Marriage & Family Therapist | 1390 Dentwood Dr, San Jose, CA 95118 | 2011-12-20 |
| 1104096825 | Cheryl Ann Engelstad | Marriage & Family Therapist | 1455 E Foxworthy Ave, Pmb 159, San Jose, CA 95118 | 2008-03-10 |
| 1427251271 | Eric John Bohl | Marriage & Family Therapist | 4990 Speak Ln., Suite 100, San Jose, CA 95118 | 2007-06-08 |
| 1326249954 | Marcia May Kaufmann | Social Worker | 4990 Speak Lane, Suite 100, San Jose, CA 95118 | 2007-05-30 |
| 1386796498 | Rena Jean Zahorsky | Marriage & Family Therapist | 4990 Speak Lane Suite 100, San Jose, CA 95118 | 2007-01-17 |
| 1992885883 | Minoo Mehdikhan | Psychologist | 1131 Luchessi Dr Suite 2, San Jose, CA 95118 | 2006-10-16 |
| Find all providers in zip 95118 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250668 | Nicholas Martinez | Physical Therapist | 1721 Technology Dr, San Jose, CA 95110-1305 | 2019-08-17 |
| 1124511423 | Sonia Saini | Physical Therapist | 3294 Pinkerton Dr, San Jose, CA 95148-2750 | 2018-06-11 |
| 1942218375 | Mark Alan Sasao | Physical Therapist | 3756 S Bascom Ave, San Jose, CA 95124-2662 | 2006-08-03 |
| 1316970486 | Pacific Coast Sports & Physical Therapy Inc. | Physical Therapist | 1177 W San Carlos St, San Jose, CA 95126-3441 | 2006-07-09 |
| 1144833435 | Dana Lindberg | Physical Therapist | 1375 Blossom Hill Rd Ste 33, San Jose, CA 95118-3825 | 2020-08-26 |
| 1457980906 | Enoch James Quon | Physical Therapist | 2145 The Alameda, San Jose, CA 95126-1141 | 2020-04-06 |
| 1598283368 | Tron Seth Hardy | Physical Therapist | 270 International Circle, Building 2 North 1st Floor Physical Therapy, San Jose, CA 95119 | 2017-08-31 |
| 1447463534 | Gina Basuino | Physical Therapist | 1530 Meridian Ave, Suite 150, San Jose, CA 95125-5350 | 2007-05-07 |
| 1669526463 | Stephania Leigh Bell | Physical Therapist | 270 International Cir, Building Two North, San Jose, CA 95119-1130 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.