Step Up Physical Therapy LLC
NPI 1063082667ActiveOrganization· Physical Therapist· Southgate, MI
Physical Therapist in Southgate, Michigan, registered in NPPES in June 2021. The authorized official on file is Fadi Delly, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063082667 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2021 |
| Last updated in NPPES | Jun 28, 2021 |
| Certified by provider | Jun 28, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (MI) |
|---|
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