Kickstart Pediatric Therapy LLC
NPI 1679969216ActiveOrganization· Physical Therapist· Conway, AR
Physical Therapist in Conway, Arkansas, registered in NPPES in April 2015. The authorized official on file is Deeann Smith, MSPT, Physical Therapist.
Overview
| NPI | 1679969216 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2015 |
| Last updated in NPPES | Apr 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Developmental Therapist | 222Q00000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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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