# KIDS IN MOTION PHYSICAL THERAPY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Total Physical Therapy, All About Kids Pediatric Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730273137
- **Authorized official:** MRS. TRACI D SCHMIDT PT (PRESIDENT)
- **Authorized official phone:** (208) 255-6693

## Contact information

- **Practice address:** 110 TIBBETTS DR STE 123, PONDERAY, ID 83852-9812
- **Practice address phone:** (208) 255-7337
- **Practice address fax:** (208) 561-9705
- **Mailing address:** 1221 MICHIGAN ST, SANDPOINT, ID 83864-1745
- **Mailing address phone:** (208) 255-6693
- **Mailing address fax:** (208) 265-0875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | — |
| 2251S0007X | Sports Physical Therapist | — | — | — |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 807409400 | — | ID |
| 01 | — | 9974 | BLUE CROSS | ID |