KICKS LLC
NPI 1194321067
Clinic/Center - Developmental Disabilities in Newark, OH

Q: What is Kicks LLC's NPI number?

The NPI number for Kicks LLC is 1194321067. It was assigned to this organization in the NPPES registry on December 7, 2020. The provider is doing business as Kicks Lcc.

Q: What is Kicks LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Kicks LLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since December 07, 2020

143 S 29TH ST, NEWARK, OH 43055(740) 348-0011 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kicks Llc NPPES

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

KICKS LLC (NPI 1194321067), doing business as Kicks Lcc, is a healthcare organization registered as a developmental disabilities in Newark, Ohio and active in the NPI registry since December 2020. The organization lists Diana Spain, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1194321067

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameKICKS LLC

Location Address143 S 29TH STNewark, OH 43055-1903

Mailing Address143 S 29th StNewark, OH 43055-1903 · (740) 348-0011

Phone(740) 348-0011

Organization SubpartNo

Authorized OfficialDiana SpainCo-owner · (740) 348-0011

Enumeration DateDecember 7, 2020

NPPES CertifiedDecember 7, 2020

✔ NPI 1194321067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

143 S 29TH ST, Newark, OH 43055

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Other Names 1

Doing Business AsKicks Lcc

Other Identifiers 1

Other4504343Dodd

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 Kicks LLC's NPI number?

The NPI number for Kicks LLC is 1194321067. It was assigned to this organization in the NPPES registry on December 7, 2020. The provider is doing business as Kicks Lcc.

Where is Kicks LLC located?

Kicks LLC is located at 143 S 29th St, Newark, OH 43055. The listed phone number is (740) 348-0011.

What is Kicks LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Kicks LLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.