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

Individual provider Physical Therapist · NPI 1699449298

Kaidra Connor is a Physical Therapist in Private Practice in Bismarck, North Dakota. Qualified in 2021, 5 years ago. Practices with Ccs Physical Therapy, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
5
Licensed in
ND
In the registry since
2021
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Practice location Address checks out

207 W Frnt Ave
Bismarck, ND 58504-5514
Phone: (701) 751-0994
Fax: (701) 751-1657
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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 2540 (ND)

Record details

NPI number1699449298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 6, 2021
Last updated in NPPESSeptember 5, 2022
Certification dateSeptember 5, 2022
Mailing address207 W Front Ave, Bismarck, ND 58504-5514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ccs Physical Therapy, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bismarck