Carly F. Proctor
NPI 1740877927ActiveIndividual· Speech-Language Pathologist· Clarksburg, WV
Speech-Language Pathologist with Healthpro Heritage Rehab and Fitness LLC, practicing in Clarksburg, West Virginia. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1740877927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Dec 22, 2020 |
| Last updated in NPPES | May 19, 2025 |
| Certified by provider | May 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP-2528 | WV |
| Home Health Aide | 374U00000X | — | — |
| 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) | Enrolled Practitioner - Qualified Speech Language Pathologist (OH); Practitioner - Qualified Speech Language Pathologist (WV) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Healthpro Heritage Rehab and Fitness LLCKingwood, TX · 969 clinicians
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All 49 speech-language pathologists in Clarksburg · All speech-language pathologists in West Virginia