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PEDIATRIA HEALTHCARE FOR KIKS
NPI 1619104734
Physical Therapist - Pediatrics in Wilkes Barre, PA

Active since June 16, 2009CLIA 39D2095766 · Waiver
53 GRAVEL ST, SUITE C, WILKES BARRE, PA 18705(570) 371-5600(570) 371-5606 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pediatria Healthcare For Kiks NPPES

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

PEDIATRIA HEALTHCARE FOR KIKS (NPI 1619104734) is a healthcare organization registered as a pediatrics in Wilkes Barre, Pennsylvania and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through May 11, 2027 and lists Susan E. Dignan, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1619104734
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NamePEDIATRIA HEALTHCARE, LLC
Location Address53 GRAVEL ST, SUITE CWilkes Barre, PA 18705-3738
Mailing Address53 Gravel St, Suite CWilkes Barre, PA 18705-3738 · (570) 371-5600 · Fax (570) 371-5606
Phone(570) 371-5600
Fax(570) 371-5606
Organization SubpartNo
Authorized OfficialSusan E. DignanGeneral Counsel · (770) 840-1966
Enumeration DateJune 16, 2009
Last NPPES UpdateFebruary 4, 2016
✔ NPI 1619104734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
Also ListedRespiratory Therapist, Certified · Neonatal/PediatricsTaxonomy 2278P3900X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
53 GRAVEL ST, Wilkes Barre, PA 18705
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Other Names 1

Doing Business AsPediatria Healthcare For Kiks

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2095766

Pediatria Hc LLC Dba Aveanna Hc · Wilkes Barre, PA
Active · expires May 11, 2027
CLIA Number39D2095766
Laboratory TypePecc
Certificate Effective DateMay 12, 2025
Certificate Expiration DateMay 11, 2027
Laboratory DirectorDr. Azra M. Sehic
Laboratory Phone(570) 371-5600
Laboratory LocationPediatria Hc LLC Dba Aveanna Hc53 Gravel Street, Suite C, Wilkes Barre, PA 18705
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

DEBORAH ANN LAFRATTE RN
Registered Nurse (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 789-0845
ANNPAT SULLIVAN DPT
Physical Therapist (Pediatrics)
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
AMY ANNE HUMMEL OTR/L
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MRS. NOELLE MARIE BENDERAVICH OTR/L
Occupational Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MS. LISA MIDWINTER M.S.,CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
LEESA JANE MASTELLER PT
Physical Therapist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
MARGARET T FRITZ M.S. CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600
SUSAN BALINT M.S.,CCC-SLP
Speech-Language Pathologist
53 GRAVEL ST
WILKES BARRE, PA 18705
Luzerne County (570) 371-5600

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 Pediatria Healthcare, LLC's NPI number?

The NPI number for Pediatria Healthcare, LLC is 1619104734. It was assigned to this organization in the NPPES registry on June 16, 2009. The provider is doing business as Pediatria Healthcare For Kiks.

Where is Pediatria Healthcare, LLC located?

Pediatria Healthcare, LLC is located at 53 Gravel St Suite C, Wilkes Barre, PA 18705. The listed phone number is (570) 371-5600.

What is Pediatria Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Does Pediatria Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2095766) is associated with this NPI, valid through May 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatria Healthcare, LLC was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.