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

NPI Status: Active since August 21, 2019

Contact Information

120 CYPRESS EDGE DR STE 101
PALM COAST, FL
ZIP 32164
Phone: (386) 586-1670

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  • Individual
  • Female
  • Physical Therapist
  • Pediatrics

About KIM MCCANDLESS

This page provides the complete NPI Profile along with additional information for Kim Mccandless, a provider established in Palm Coast, Florida with a medical specialization in Physical Therapist, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1912554304 assigned on August 2019. The practitioner's primary taxonomy code is 2251P0200X with license number PT34946 (FL). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1912554304
Provider Name
KIM MCCANDLESS
Gender
Female
Entity Type
Individual
Location Address
120 CYPRESS EDGE DR STE 101 PALM COAST, FL 32164
Location Phone
(386) 586-1670
Mailing Address
276 TIMBERWOOD DR SAINT AUGUSTINE, FL 32084
Mailing Phone
(772) 828-9230
Is Sole Proprietor?
No
Enumeration Date
08-21-2019
Last Update Date
04-16-2022
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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
License No.
PT34946
License State
FL
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912554304
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922105830
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 5 + 8 + 3 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1912554304 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386291763 ANDRES SANCHEZ DPT
Individual
Physical Therapist120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
(386) 586-1670
1013670454 LAURA LYNN MORSE OTR
Individual
Occupational Therapist (Pediatrics)120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
(386) 586-1670
1679237200 STEVEN GREGORY PT, DPT
Individual
Physical Therapist (Orthopedic)120 CYPRESS EDGE DR STE 101
PALM COAST, FL 32164
(386) 586-1691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912554304, enumerated in the NPI registry as an "individual" on August 21, 2019

The provider is located at 120 Cypress Edge Dr Ste 101 Palm Coast, Fl 32164 and the phone number is (386) 586-1670

The provider's speciality is Physical Therapist with taxonomy code 2251P0200X with a focus in Pediatrics

This NPI record was last updated on August 21, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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