Red Door Pediatric Therapy, Inc
NPI 1639257033ActiveOrganization· Speech-Language Pathologist· Bismarck, ND
Speech-Language Pathologist in Bismarck, North Dakota, registered in NPPES in November 2006. The authorized official on file is Tia-Lee Whitted, Financial/Credentialing. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1639257033 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2006 |
| Last updated in NPPES | Dec 5, 2024 |
| Certified by provider | Dec 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 862 | ND |
| Counselor, Professional | 101YP2500X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | 908 | ND |
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 (ND) |
|---|
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