Mariah A. Kellogg, PT, DPT
NPI 1629694112ActiveIndividual· Physical Therapist· Dothan, AL
Physical Therapist (PT, DPT) in Dothan, Alabama, licensed in AL and AK, with an NPI issued in June 2020.
Overview
| NPI | 1629694112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jun 19, 2020 |
| Last updated in NPPES | Jan 24, 2024 |
| Certified by provider | Jan 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PTH11653 | AL |
| Physical Therapist | 225100000X | 162927 | AK |
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 |
|---|
Other physical therapists in Dothan
- 1033168653
- 1053879056
- 1174843130
- 1184610842
- 1205546892
- 1275539769
- 1285498519
- 1295330686
- 1295401438
- 1306261656
- 1356938047
- 1386427938
All 70 physical therapists in Dothan · All physical therapists in Alabama