Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kid Goals Pediatric Physical Therapy, Inc

Organization Pediatric Physical Therapist · NPI 1417789645

Kid Goals Pediatric Physical Therapy, Inc is a Pediatric Physical Therapist in Ridgecrest, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

619 W Ridgecrest Blvd Ste B
Ridgecrest, CA 93555-4065
Phone: (760) 428-8646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1417789645
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Behnke — Owner/Physical Therapist · (760) 428-8646
NPI enumeratedAugust 16, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address200 Palm Ave, Coronado, CA 92118-1120