PEDIATRIA HEALTHCARE FOR KIKS
NPI 1619104734
Physical Therapist - Pediatrics in Wilkes Barre, PA
NPI Status: Active since June 16, 2009
Contact Information
53 GRAVEL ST
SUITE C
WILKES BARRE, PA
ZIP 18705
Phone: (570) 371-5600
Fax: (570) 371-5606
- Organization
- Physical Therapist
- Pediatrics
- CLIA Number: 39D2095766
- CLIA Cert. Type: Other - PECC
- CLIA Exp. Date: 05-11-2027
About PEDIATRIA HEALTHCARE FOR KIKS
This page provides the complete NPI Profile along with additional information for Pediatria Healthcare For Kiks, a provider established in Wilkes Barre, Pennsylvania operating as a Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1619104734 assigned on June 2009. The practitioner's primary taxonomy code is 2251P0200X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Pediatria Healthcare For Kiks operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pediatria Healthcare For Kiks. The authorized official of this NPI record is Susan E. Dignan (General Counsel)
- NPI
- 1619104734
- Provider Legal Name
- PEDIATRIA HEALTHCARE, LLC
- Other Organization Name
- PEDIATRIA HEALTHCARE FOR KIKS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 53 GRAVEL ST SUITE C WILKES BARRE, PA 18705
- Location Phone
- (570) 371-5600
- Location Fax
- (570) 371-5606
- Mailing Address
- 53 GRAVEL ST SUITE C WILKES BARRE, PA 18705
- Mailing Phone
- (570) 371-5600
- Mailing Fax
- (570) 371-5606
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-16-2009
- Last Update Date
- 02-04-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Pediatrics
- Taxonomy Code
- 2251P0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
| 2 | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | |
| 3 | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2095766
- Facility Type
- Other - PECC
- Certificate Effective Date
- May 12, 2025
- Certificate Expiration Date
- May 11, 2027
- Laboratory Director
- DR. AZRA M. SEHIC
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pediatria Healthcare For Kiks to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619104734, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
WILKES BARRE, PA 18705
WILKES BARRE, PA 18705
WILKES BARRE, PA 18705
WILKES BARRE, PA 18705
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619104734, enumerated as an "organization" on June 16, 2009.
The provider is located at 53 GRAVEL ST SUITE C WILKES BARRE, PA 18705 and the phone number is (570) 371-5600.
Physical Therapist with taxonomy code 2251P0200X and a focus in Pediatrics.
