Kendrick Widemon
NPI 1942630116 · Physical Therapist · Keller, TX
Kendrick Widemon is a Physical Therapist provider in Keller, TX (NPI 1942630116).
Provider details
- NPI number
- 1942630116
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1172043 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-11-25
- Last updated
- 2013-11-25
Frequently asked questions
- What is Kendrick Widemon's NPI number?
- Kendrick Widemon's National Provider Identifier (NPI) is 1942630116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kendrick Widemon's specialty?
- Kendrick Widemon is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kendrick Widemon located?
- Kendrick Widemon's practice location on file with NPPES is 5728 Moon Flower Ct, Keller, TX 76244.
- What is Kendrick Widemon's phone number?
- The practice phone number listed in the NPPES registry for Kendrick Widemon is (817) 337-9548.
- Is Kendrick Widemon's NPI active?
- Yes — Kendrick Widemon's NPI (1942630116) is active in the NPPES registry as of the last update on 2013-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.