Kids Unlimited Learning Academy of Fayetteville
NPI 1831874114ActiveOrganization· Physical Therapist· Fayetteville, AR
Physical Therapist in Fayetteville, Arkansas, registered in NPPES in June 2023, part of Miracle Kids Success Academy, Inc. The authorized official on file is Shelly Keller, MCD, CCC-SLP, Ceo.
Overview
| NPI | 1831874114 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Miracle Kids Success Academy, Inc. |
| NPI issued | Jun 15, 2023 |
| Last updated in NPPES | Jun 15, 2023 |
| Certified by provider | Jun 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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