Kelley Broyld, B.S.
NPI 1902962624ActiveIndividual· Occupational Therapist· Dallas, GA
Occupational Therapist (B.S.) in Dallas, Georgia, licensed in GA, with an NPI issued in December 2006.
Overview
| NPI | 1902962624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | B.S. |
| Sole proprietor | Yes |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Apr 13, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT003284 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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