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KIM MCCANDLESS
NPI 1912554304
Physical Therapist - Pediatrics in Palm Coast, FL

Active since August 21, 2019
120 CYPRESS EDGE DR STE 101, PALM COAST, FL 32164(386) 586-1670 Get Directions Write a Review

NPPES record last updated: April 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2022, Aug 21, 2019 (2 updates tracked since 2019).

About Kim Mccandless NPPES

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

KIM MCCANDLESS (NPI 1912554304) is an individual pediatrics provider in Palm Coast, Florida, licensed in Florida (PT34946) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1912554304
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKIM MCCANDLESS
Location Address120 CYPRESS EDGE DR STE 101Palm Coast, FL 32164-8454
Mailing Address276 Timberwood DrSaint Augustine, FL 32084-8388 · (772) 828-9230
Phone(386) 586-1670
Sole ProprietorNo
Enumeration DateAugust 21, 2019
Last NPPES UpdateApril 16, 20222 updates tracked since enumeration
NPPES CertifiedApril 16, 2022
✔ NPI 1912554304 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 FL · PT34946
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.
120 CYPRESS EDGE DR STE 101, Palm Coast, FL 32164
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Other Providers at the Same Location NPPES 3

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

LAURA LYNN MORSE OTR
Occupational Therapist (Pediatrics)
120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
Flagler County (386) 586-1670
ANDRES SANCHEZ DPT
Physical Therapist
120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
Flagler County (386) 586-1670
STEVEN GREGORY PT, DPT
Physical Therapist (Orthopedic)
120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
Flagler County (386) 586-1691

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 Kim Mccandless's NPI number?

The NPI number for Kim Mccandless is 1912554304. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Kim Mccandless located?

Kim Mccandless practices at 120 Cypress Edge Dr Ste 101, Palm Coast, FL 32164. The listed phone number is (386) 586-1670.

What is Kim Mccandless'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 Kim Mccandless was last updated on April 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.