Compleat Kidz Pediatric Therapy, LLC
NPI 1508688805ActiveOrganization· Physical Therapist· Richmond, VA
Physical Therapist in Richmond, Virginia, registered in NPPES in October 2024, part of Compleat Kidz Pediatric Therapy, LLC. The authorized official on file is Derrick Fickling, Senior Payer Relations Manager.
Overview
| NPI | 1508688805 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Compleat Kidz Pediatric Therapy, LLC |
| NPI issued | Oct 28, 2024 |
| Last updated in NPPES | Oct 28, 2024 |
| Certified by provider | Oct 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
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 |
|---|
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