Elite Pediatric Solutions LLC
NPI 1700693041ActiveOrganization· Physical Therapist· Madison, AL
Physical Therapist in Madison, Alabama, registered in NPPES in December 2024. The authorized official on file is Pamela P. Van Etten, Director Of Credentialing. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1700693041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2024 |
| Last updated in NPPES | Jan 10, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (AL) |
|---|
Other Physical Therapist providers in Madison
- 1023525623
- 1346671906
- 1982614707
- 1780059972
- 1386550853
- 1508879883
- 1932436334
- 1245000868
- 1851463129
- 1821734823
- 1841538238
- 1700943800