Kennan Paavo Archer, D.P.T.
NPI 1720211642ActiveIndividual· Physical Therapist· Pella, IA
Physical Therapist (D.P.T.) in Pella, Iowa, licensed in IA, with an NPI issued in August 2009. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1720211642 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T. |
| Sole proprietor | No |
| NPI issued | Aug 26, 2009 |
| Last updated in NPPES | Mar 14, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 005021 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (WI) |
|---|
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