Pediatricks
NPI 1053078584ActiveOrganization· Physical Therapist· Hockessin, DE
Physical Therapist in Hockessin, Delaware, registered in NPPES in November 2021. The authorized official on file is Jaclyn Petuya, DPT, Physical Therapist And Owner.
Overview
| NPI | 1053078584 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2021 |
| Last updated in NPPES | Nov 18, 2021 |
| Certified by provider | Nov 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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