Kendrick Widemon

Kendrick Widemon is a Physical Therapist provider (Physical Therapist) practicing in Keller, TX, registered in the NPPES registry with NPI 1942630116 since 2013.

✓ Active NPI ✓ Valid NPI checksum

NPI	1942630116
Entity type	Individual (Type 1)
Name	Kendrick Widemon
Sex	Male
Practice address	5728 MOON FLOWER CT, Keller, TX, 76244
Phone	8173379548
Enumeration date	2013-11-25
Last updated in NPPES	2013-11-25

Taxonomy & licenses

Taxonomy code	Specialty	Primary	License	State
225100000X	Physical Therapist	Primary	1172043	TX

Copy-ready billing details

Provider: Kendrick Widemon
NPI: 1942630116
Taxonomy: 225100000X (Physical Therapist)
Address: 5728 MOON FLOWER CT, Keller, TX, 76244

Other providers at this practice address

NPI	Name	Type	Specialty	Location
1174828164	Alison Geymer	Individual	Physical Therapist	Fort Worth, TX
1326477431	A&K Therapy and Wound Care Specialists LLC	Organization	Physical Therapist	Fort Worth, TX
1235533019	Amanda Simmons	Individual	Occupational Therapist	Fort Worth, TX
1154863728	Geymer Physical Therapy and Wellness	Organization	Physical Therapy Clinic/Center	Fort Worth, TX

Verify this record

Cross-check NPI 1942630116 against the authoritative CMS record: view Kendrick Widemon on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What specialty is Kendrick Widemon?

Kendrick Widemon is registered in NPPES with the primary taxonomy of Physical Therapist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-11-25.