Kallie A. Wikman, DPT
NPI 1083109755ActiveIndividual· Physical Therapist· Vancouver, WA
Physical Therapist (DPT) with New Proactive LLC, practicing in Vancouver, Washington. Medicare paid $37,280 for services to 68 patients in 2024.
Overview
| NPI | 1083109755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 26, 2018 |
| Last updated in NPPES | Sep 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT60989646 | WA |
| Physical Therapist | 225100000X | PT294922 | CA |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 68 |
|---|---|
| Services billed | 1,879 across 9 procedure codes |
| Paid by Medicare | $37,280 |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- New Proactive LLCVancouver, WA · 52 clinicians
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