Serc of Woodland Park LLC
NPI 1063403855ActiveOrganization· Physical Therapist· Woodland Park, CO
Physical Therapist in Woodland Park, Colorado, registered in NPPES in November 2005. The authorized official on file is Matthew Lawrence Thessing, PT, Owner.
Overview
| NPI | 1063403855 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 2, 2005 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Dec 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | CO |
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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