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

Jack Kidwell

Individual provider Physical Therapist · NPI 1659504868

Jack Kidwell is a Physical Therapist in Middleburg Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone: (216) 926-0699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT9064 (OH)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence PT9064 (OH)

Record details

NPI number1659504868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 3, 2009
Last updated in NPPESApril 14, 2016
Mailing address321 Barrett Rd, Berea, OH 44017-1063

Other providers in Middleburg Heights