Periwinkle Children's Therapy
NPI 1184972184ActiveOrganization· Contractor· Hayden, ID
Contractor in Hayden, Idaho, registered in NPPES in August 2012. The authorized official on file is Christy Adams, Co-Owner.
Overview
| NPI | 1184972184 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2012 |
| Last updated in NPPES | Aug 22, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | — | — |
| Physical Therapist, Pediatrics | 2251P0200X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | — | — |
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 Contractor providers in Hayden
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