Streamline Sports Physical Therapy PC
NPI 1073038378ActiveOrganization· Physical Therapist· Pocatello, ID
Physical Therapist in Pocatello, Idaho, registered in NPPES in August 2017. The authorized official on file is Blaire Zikratch-Clayson, PT, Owner/Pt. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073038378 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2017 |
| Last updated in NPPES | Sep 20, 2021 |
| Certified by provider | Sep 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-2831 | ID |
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 (ID) |
|---|
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