Kourtney Wallick, PT, DPT
NPI 1750788527ActiveIndividual· Physical Therapist· Warren, RI
Physical Therapist (PT, DPT) in Warren, Rhode Island, licensed in RI, with an NPI issued in November 2014. Medicare paid $17,524 for services to 50 patients in 2024.
Overview
| NPI | 1750788527 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Nov 22, 2014 |
| Last updated in NPPES | Dec 23, 2021 |
| Certified by provider | Dec 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT02767 | RI |
| Physical Therapist | 225100000X | — | — |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 905 across 7 procedure codes |
| Paid by Medicare | $17,524 |
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