KIDS CARE PEDIATRIC THERAPIES (NPI# 1609330372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609330372 |
| Entity Type | Organization |
| Organization Name | KIDS CARE PEDIATRIC THERAPIES |
| Other Organization Name | KIDS CARE PEDIATRIC THERAPIES |
| Practice Address |
1948 S Glenstone Ave Ste 104 Springfield MO 65804-2305 |
| Practice Telephone | 4178125031 |
| Mailing Telephone | 4178125031 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MRS. AMANDA K HARDIN (OWNER) |
| Authorized Official Telephone | 4178125031 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Kids Care Pediatric Therapies | Doing Business As Name - Organization |
| Street Address |
1948 S GLENSTONE AVE STE 104 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225592975 | Amanda Kay Hardin | Massage Therapist | 1948 S Glenstone Ave Ste 104, Springfield, MO 65804-2305 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336426386 | Kesia Danner-bowman | Physical Therapist | 2898 S Eldon Ave, Springfield, MO 65807-5532 | 2011-11-04 |
| 1124353792 | Susan Caulfield Wise | Physical Therapist | 7405 Calico Ct, Springfield, VA 22153-1302 | 2009-10-14 |
| 1245468289 | Melissa Lee Quinn | Physical Therapist | 29 Crest Pl, Springfield, NJ 07081-1618 | 2009-06-29 |
| 1922282169 | Mary Anne Raab | Physical Therapist | St John's Hospital, 800 East Carpenter, Springfield, IL 62769-0001 | 2007-12-24 |
| 1558560631 | Exceptional Childrens Center, LLC | Physical Therapist | 7001a Loisdale Rd, Springfield, VA 22150-1904 | 2007-07-17 |
| 1871566042 | Susan M. Petter | Physical Therapist | 1221 Wickford Dr, Springfield, IL 62704-2127 | 2006-02-08 |
| 1841801693 | Natalie Hall | Physical Therapist | 514 S Brown St, Springfield, TN 37172-2937 | 2020-08-14 |
| 1215392691 | Trinitas Children's Therapy Services | Physical Therapist | 899 Mountain Avenue, Suite 1a, Springfield, NJ 07081 | 2015-12-29 |
| 1275903338 | Christina Freeman | Physical Therapist | 1601 E Pythian St, Springfield, MO 65802-2141 | 2015-10-01 |
| 1750758389 | Lauren Carruthers | Physical Therapist | 8348 Traford Ln, Suite 200, Springfield, VA 22152-1663 | 2015-08-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on KIDS CARE PEDIATRIC THERAPIES.
| 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.