Legendary Pediatric Therapy
NPI 1568869899ActiveOrganization· Occupational Therapist· Draper, UT
Occupational Therapist in Draper, Utah, registered in NPPES in December 2014. The authorized official on file is Breeann Millette, Billing Manager.
Overview
| NPI | 1568869899 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 2, 2014 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 6717450-4201 | UT |
| Physical Therapist, Pediatrics | 2251P0200X | — | — |
| Speech-Language Pathologist | 235Z00000X | 9554558-4102 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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