Performance Edge Physical Therapy, LLC
NPI 1043064090ActiveOrganization· Physical Therapist· Livonia, MI
Physical Therapist in Livonia, Michigan, registered in NPPES in April 2024. The authorized official on file is Mishka R. Spencer, DPT, Qwner / President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1043064090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2024 |
| Last updated in NPPES | Sep 2, 2024 |
| Certified by provider | Sep 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (MI) |
|---|
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All 254 physical therapists in Livonia · All physical therapists in Michigan