Ethos Pediatric Therapy LLC
NPI 1629913561ActiveOrganization· Occupational Therapist· Plymouth, MI
Occupational Therapist in Plymouth, Michigan, registered in NPPES in April 2026. The authorized official on file is Bradley Smith, DPT, Director. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1629913561 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2026 |
| Last updated in NPPES | Apr 20, 2026 |
| Certified by provider | Apr 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MI) |
|---|
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