Pediatric Developmental Therapy
NPI 1710183991ActiveOrganization· Rehabilitation Practitioner· Fayetteville, NC
Rehabilitation Practitioner in Fayetteville, North Carolina, registered in NPPES in June 2007. The authorized official on file is Haden Payne Boliek, MS CCC SLP, Owner.
Overview
| NPI | 1710183991 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2007 |
| Last updated in NPPES | Aug 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | — | NC |
| Community/Behavioral Health | 251S00000X | — | — |
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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