Goodlife Physical Therapy
NPI 1053557264ActiveOrganization· Physical Therapist· Orland Park, IL
Physical Therapist in Orland Park, Illinois, registered in NPPES in December 2008. The authorized official on file is Mirab Mickey Shah, PT, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1053557264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2008 |
| Last updated in NPPES | Aug 1, 2024 |
| Certified by provider | Aug 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070-013727 | IL |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 (IL) |
|---|
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