Beacon Medical Group, Inc.
NPI 1053864868ActiveOrganization· Physical Therapist· Granger, IN
Physical Therapist in Granger, Indiana, registered in NPPES in July 2016. The authorized official on file is Jeffrey P. Costello, Cfo.
Overview
| NPI | 1053864868 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2016 |
| Last updated in NPPES | Jul 28, 2016 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 43 physical therapists in Granger · All physical therapists in Indiana