Cache Valley Hand Therapy LLC
NPI 1053965905ActiveOrganization· Occupational Therapist, Hand· North Logan, UT
Occupational Therapist, Hand in North Logan, Utah, registered in NPPES in July 2019. The authorized official on file is Ryan Godfrey, OTR/L, CHT, Occupational Therapist. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1053965905 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2019 |
| Last updated in NPPES | Nov 22, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Hand Primary | 225XH1200X | — | — |
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 DME Supplier - Independently-Practicing Occupational Therapist (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|