Kinetic Pediatric Therapy, Inc.
NPI 1124910039ActiveOrganization· Speech-Language Pathologist· Greenville, NC
Speech-Language Pathologist in Greenville, North Carolina, registered in NPPES in July 2025. The authorized official on file is Charlie David Edwards, DPT, Co-Owner.
Overview
| NPI | 1124910039 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2025 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Speech-Language Pathologist providers in Greenville
- 1265841621
- 1942531140
- 1801369590
- 1558312934
- 1417154725
- 1487495768
- 1093069908
- 1952954083
- 1407437908
- 1487806758
- 1508961160
- 1407227226
All Speech-Language Pathologist providers in North Carolina →