Vista Physical Therapy, PLLC
NPI 1033704101ActiveOrganization· Physical Therapist· Ammon, ID
Physical Therapist in Ammon, Idaho, registered in NPPES in March 2021. The authorized official on file is Keegan David Parmer, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1033704101 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2021 |
| Last updated in NPPES | Apr 2, 2021 |
| Certified by provider | Apr 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| 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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ID) |
|---|
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All 21 physical therapists in Ammon · All physical therapists in Idaho