Pro PT, Inc.
NPI 1053414235ActiveOrganization· Physical Therapist· Brookings, SD
Physical Therapist in Brookings, South Dakota, registered in NPPES in September 2006. The authorized official on file is Lisa Johnson, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053414235 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2006 |
| Last updated in NPPES | Apr 27, 2021 |
| Certified by provider | Apr 27, 2021 |
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 - Clinic/Group Practice (SD) |
|---|
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