Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kids for Life Physical Therapy Inc

Organization Physical Therapist · NPI 1639389067

Kids for Life Physical Therapy Inc provides Physical Therapist services in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19167 Glendale Ave
South Bend, IN 46637-2706
Phone: (574) 273-1442
Fax: (574) 273-1442
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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 05003203A (IN)

Record details

NPI number1639389067
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Filipina Pantig — Physical Therapist · (574) 273-1442
NPI enumeratedMay 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing address19167 Glendale Ave, South Bend, IN 46637-2706

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