Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kendrick Widemon
Physical Therapist in Keller, TX · enumerated 2013.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1942630116
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Registry record
Entity type Individual (Type 1)
Name Kendrick Widemon
Sex Male
Practice address 5728 Moon Flower Ct, Keller, TX, 76244
Phone (817) 337-9548
Enumeration date Nov 25, 2013
Last updated in NPPES Nov 25, 2013
Taxonomy & licenses
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1172043 (TX) Primary
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.
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.
Other providers at this practice address
Browse all → Alison Geymer Physical Therapist · Fort Worth, TX NPI 1174828164 A&K Therapy and Wound Care Specialists LLC Physical Therapist · Fort Worth, TX NPI 1326477431 Amanda Simmons Occupational Therapist · Fort Worth, TX NPI 1235533019 Geymer Physical Therapy and Wellness Physical Therapy Clinic/Center · Fort Worth, TX NPI 1154863728
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-25.