Abundant Life Physical Therapy, LLC
NPI 1023723798ActiveOrganization· Physical Therapist· Statesville, NC
Physical Therapist in Statesville, North Carolina, registered in NPPES in January 2023. The authorized official on file is Richard Stewart, PT, DPT, OCS, DN, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1023723798 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2023 |
| Last updated in NPPES | Jan 17, 2023 |
| Certified by provider | Jan 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
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