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KIDABILITY PHYSICAL THERAPY, LLC
NPI 1891034575
Physical Therapist - Pediatrics in Big Lake, AK

Active since January 31, 2013
6406 S. GONDER ROAD, BIG LAKE, AK 99652(907) 230-0402 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kidability Physical Therapy, Llc NPPES

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

KIDABILITY PHYSICAL THERAPY, LLC (NPI 1891034575) is a healthcare organization registered as a pediatrics in Big Lake, Alaska and active in the NPI registry since January 2013. The organization lists Kristin Marie Bacon, Owner, as its authorized official.

NPPES Registry Identity

NPI1891034575
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameKIDABILITY PHYSICAL THERAPY, LLC
Location Address6406 S. GONDER ROADBig Lake, AK 99652
Mailing AddressPo Box 521504Big Lake, AK 99652-1504
Phone(907) 230-0402
Organization SubpartNo
Authorized OfficialKristin Marie BaconOwner · (907) 230-0402
Enumeration DateJanuary 31, 2013
✔ NPI 1891034575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in AK · PT1159
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.
6406 S. GONDER ROAD, Big Lake, AK 99652
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kidability Physical Therapy, LLC's NPI number?

The NPI number for Kidability Physical Therapy, LLC is 1891034575. It was assigned to this organization in the NPPES registry on January 31, 2013.

Where is Kidability Physical Therapy, LLC located?

Kidability Physical Therapy, LLC is located at 6406 S. Gonder Road, Big Lake, AK 99652. The listed phone number is (907) 230-0402.

What is Kidability Physical Therapy, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kidability Physical Therapy, LLC was last updated on January 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.