JACK KIDWELL – Physical Therapist, NPI 1659504868

JACK KIDWELL is a healthcare provider. based in Middleburg heights, Ohio. specializing in Physical Therapist. They hold a License No. PT9064 (OH). The NPI Number for JACK KIDWELL is 1659504868

Main info

Male
Sole Proprietor
Name
JACK KIDWELL
NPI
1659504868
Phone
(216) 926-0699
Address
18697 BAGLEY RD
Enumeration Date
3 September 2009
Last Update Date
14 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JACK KIDWELL

  • Southwest General Health Center, 18697, Bagley Road, Middleburg Heights, Cuyahoga County, Ohio, 44130, United States

    MIDDLEBURG HEIGHTS, OH 441303417

    Phone: (216) 926-0699

    Type: Location

  • 321, Barrett Road, Berea, Olmsted Township, Cuyahoga County, Ohio, 44017, United States

    BEREA, OH 440171063

    Phone: (216) 926-0699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44130)

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Reviews

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Frequently asked questions

What unique ID ties claims to JACK KIDWELL?
NPI 1659504868 is assigned to JACK KIDWELL under the national enumeration system.
Is JACK KIDWELL currently active in the NPI registry?
CMS-published data lists JACK KIDWELL as an active registrant.
Does JACK KIDWELL list a primary specialty?
If you are matching referrals, note Physical Therapist for JACK KIDWELL. Clinical services aligned with this taxonomy classification.
Where does public data place JACK KIDWELL?
The snapshot lists Middleburg Heights, Ohio for JACK KIDWELL; download NPPES for the complete set.
How can I contact JACK KIDWELL?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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