Kelly Eckelkamp
NPI 1467265637ActiveIndividual· Physical Therapist· Sullivan, MO
Physical Therapist with Athletico Ltd, practicing in Sullivan, Missouri. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1467265637 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jan 30, 2025 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2025003051 | MO |
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 - Occupational Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
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