Kaleidoscope Pediatric Therapy LLC
NPI 1154693364ActiveOrganization· Occupational Therapist· Boise, ID
Occupational Therapist in Boise, Idaho, registered in NPPES in February 2012. The authorized official on file is Katie Rowe, PT, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1154693364 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 2, 2012 |
| Last updated in NPPES | Feb 1, 2023 |
| Certified by provider | Feb 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-709 | ID |
| Physical Therapist | 225100000X | PT-1860 | ID |
| Speech-Language Pathologist | 235Z00000X | SLP-1992 | ID |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ID) |
|---|
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