Achieve Physical Therapy and Sports Performance, LLC
NPI 1053646646ActiveOrganization· Specialist· Angola, IN
Specialist in Angola, Indiana, registered in NPPES in October 2009. The authorized official on file is Robin Weidinger, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053646646 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 15, 2009 |
| Last updated in NPPES | Feb 2, 2024 |
| Certified by provider | Feb 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 05009604A | IN |
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 - Clinic/Group Practice (IN) |
|---|
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