PAUL JAMES KIDGER PT - NPI 1235638818 - Physical Therapist in San Jose, CA

Q: What is Paul Kidger's NPI number?

The NPI number for Paul Kidger is 1235638818. It was assigned to this individual provider in the NPPES registry on February 8, 2018.

Q: What is Paul Kidger's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Paul Kidger was last updated on February 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Paul James Kidger Pt NPPES

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

PAUL JAMES KIDGER PT (NPI 1235638818) is an individual orthopedic provider in San Jose, California, licensed in California (25581) and active in the NPI registry since February 2018. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1235638818

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NamePAUL JAMES KIDGERCredential: PT

Location Address1375 BLOSSOM HILL RD STE 33San Jose, CA 95118-3825

Mailing Address3121 Loma Verde Dr Apt 28San Jose, CA 95117-3834

Phone(408) 784-7167

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateFebruary 8, 2018

✔ NPI 1235638818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in CA · 25581

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

1375 BLOSSOM HILL RD STE 33, San Jose, CA 95118

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul James Kidger Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092296905

PECOS Enrollment IDI20260227001232

Other Providers at the Same Location NPPES 7

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

JACQUELINE FRIZZI DPT

Physical Therapist