Kyrene Keeto Betournay
NPI 1164384566ActiveIndividual· Physical Therapy Assistant· Queen Creek, AZ
Physical Therapy Assistant in Queen Creek, Arizona, licensed in AZ, with an NPI issued in November 2025.
Overview
| NPI | 1164384566 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 25, 2025 |
| Last updated in NPPES | Nov 25, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA-014550 | AZ |
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 |
|---|
Other Physical Therapy Assistant providers in Queen Creek
- 1104688357
- 1134055494
- 1073150090
- 1508528639
- 1528781853
- 1750951257
- 1538982061
- 1942062336
- 1497388375
- 1518458546