Pro of Kennett, Inc.
NPI 1811108608ActiveOrganization· Specialist· Kennett, MO
Specialist in Kennett, Missouri, registered in NPPES in May 2007. The authorized official on file is Tena R. Vandeventer, Office Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1811108608 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Nov 15, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | R0582 | MO |
| Specialist | 174400000X | 02042 | MO |
| Specialist | 174400000X | 01506 | MO |
| Speech-Language Pathologist | 235Z00000X | 107027 | MO |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
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