Foothills Sports Medicine & Rehabilitation - Gold Canyon, LLC
NPI 1033532130ActiveOrganization· Physical Therapist· Gold Canyon, AZ
Physical Therapist in Gold Canyon, Arizona, registered in NPPES in January 2014. The authorized official on file is Michael Basten, Owner.
Overview
| NPI | 1033532130 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 24, 2014 |
| Last updated in NPPES | May 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapist, Sports | 2251S0007X | — | — |
| Physical Therapist, Orthopedic | 2251X0800X | — | — |
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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