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Kicks LLC

Developmental Disabilities Clinic/Center in Newark, OH · enumerated 2020 · authorized official Diana Spain, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194321067

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Registry record

Entity type Organization (Type 2)
Legal business name Kicks LLC
Practice address 143 S 29th St, Newark, OH, 43055
Phone (740) 348-0011
Enumeration date Dec 7, 2020
Last updated in NPPES Dec 7, 2020

Taxonomy & classification

261QA0600X Adult Day Care Clinic/Center Ambulatory Health Care Facilities Secondary
261QD1600X Developmental Disabilities Clinic/Center Ambulatory Health Care Facilities Primary
343900000X Non-emergency Medical Transport (VAN) Transportation Services Secondary

Authorized official

Name Diana Spain
Title Co-Owner
Phone (740) 348-0011

Other identifiers

Identifier Type State Issuer
4504343 Other - DODD

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.

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Frequently asked questions

What type of organization is Kicks LLC?
Kicks LLC is registered in NPPES as a Developmental Disabilities Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-07.