Wilderness Trace Child Development Center
NPI 1003024084ActiveOrganization· Physical Therapist· Danville, KY
Physical Therapist in Danville, Kentucky, registered in NPPES in May 2007. The authorized official on file is Libby Suttles, Executive Director.
Overview
| NPI | 1003024084 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2007 |
| Last updated in NPPES | May 10, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
| Local Education Agency (LEA) | 251300000X | 354928 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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