Miracle Kids Success Academy of Trumann
NPI 1063979243ActiveOrganization· Physical Therapist· Trumann, AR
Physical Therapist in Trumann, Arkansas, registered in NPPES in February 2019. The authorized official on file is Shelly Keller, MCD, CCC-SLP, Ceo.
Overview
| NPI | 1063979243 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2019 |
| Last updated in NPPES | Feb 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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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