Kidsource Therapy
NPI 1760443220ActiveOrganization· Speech-Language Pathologist· Benton, AR
Speech-Language Pathologist in Benton, Arkansas, registered in NPPES in March 2006. The authorized official on file is Corey W. Tinkle, MS PT, Ms Pt Vp.
Overview
| NPI | 1760443220 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 31, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | — | — |
| Physical Therapist | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Speech-Language Pathologist providers in Benton
- 1003107434
- 1063674570
- 1639202716
- 1770249104
- 1295197135
- 1245884378
- 1720458854
- 1336796085
- 1952361206
- 1871087064
- 1154526903
- 1255759361