Viverant, LLC
NPI 1013439868ActiveOrganization· Physical Therapist· Lake Elmo, MN
Physical Therapist in Lake Elmo, Minnesota, registered in NPPES in July 2017, part of Viverant PT LLC. The authorized official on file is Michael Lanham, Director.
Overview
| NPI | 1013439868 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Viverant PT LLC |
| NPI issued | Jul 13, 2017 |
| Last updated in NPPES | Jun 1, 2020 |
| Certified by provider | Jun 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
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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