MITCHELL KIDD PT, DPT
NPI 1003746140
Physical Therapist in Overland Park, KS

Active since May 20, 2026
10800 FARLEY ST STE 130, OVERLAND PARK, KS 66210(785) 633-8505 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mitchell Kidd Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL KIDD PT, DPT (NPI 1003746140) is an individual physical therapist in Overland Park, Kansas, licensed in Kansas (11-08135) and active in the NPI registry since May 2026. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1003746140
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMITCHELL KIDDCredential: PT, DPT
Location Address10800 FARLEY ST STE 130Overland Park, KS 66210-1418
Mailing Address10800 Farley St Ste 130Overland Park, KS 66210-1418 · (785) 633-8505
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 20, 2026
NPPES CertifiedMay 20, 2026
✔ NPI 1003746140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in KS · 11-08135
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
10800 FARLEY ST STE 130, Overland Park, KS 66210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Kidd Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193299592
PECOS Enrollment IDI20260707003570

Medicare Billing Reassignments

2

Medicare enrollment records show Mitchell Kidd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

1.7 mi
Orthopedic
11036 OAKMONT ST
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas enrollment
  • 11 clinicians in this Medicare group
5.7 mi
Orthopedic
15100 METCALF AVE STE 102
Overland Park, KS 66223
  • Reassigned Medicare billing, Kansas enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
10800 FARLEY ST STE 130
OVERLAND PARK, KS 66210
Physical Therapist
10800 FARLEY ST STE 130
OVERLAND PARK, KS 66210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mitchell Kidd's NPI number?

The NPI number for Mitchell Kidd is 1003746140. It was assigned to this individual provider in the NPPES registry on May 20, 2026.

Where is Mitchell Kidd located?

Mitchell Kidd practices at 10800 Farley St Ste 130, Overland Park, KS 66210. The listed phone number is (785) 633-8505.

What is Mitchell Kidd's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mitchell Kidd enrolled in Medicare?

Yes. Mitchell Kidd is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mitchell Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Kidd reassigns Medicare benefits to 2 organizations: Slpt, LLC (Overland Park, KS) and Lscm, LLC (Overland Park, KS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitchell Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mitchell Kidd was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.