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Childserve Therapy, Inc.

NPI 1679614754ActiveOrganization· Physical Therapist· Johnston, IA

Physical Therapist in Johnston, Iowa, registered in NPPES in February 2007, part of Childserve Inc. The authorized official on file is Jennifer Pavlovec, Director Of Finance. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services and part b supplier - clinic/group practice.

Overview

NPI1679614754
StatusActive
Entity typeOrganization (subpart)
Parent organizationChildserve Inc.
NPI issuedFeb 9, 2007
Last updated in NPPESSep 10, 2020
Certified by providerSep 10, 2020

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (IA); Part B Supplier - Clinic/Group Practice (IA)

Medicare sources and data years

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