Freedom Physical Therapy Services SC
NPI 1063406544ActiveOrganization· Physical Therapist· Fox Point, WI
Physical Therapist in Fox Point, Wisconsin, registered in NPPES in September 2005. The authorized official on file is Peter J. Stathas, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063406544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2005 |
| Last updated in NPPES | Oct 5, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | WI |
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 Part B Supplier - Clinic/Group Practice (WI) |
|---|
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