Rock Island Physical Therapy, LLC
NPI 1073124087ActiveOrganization· Physical Therapist· Ruston, LA
Physical Therapist in Ruston, Louisiana, registered in NPPES in August 2020. The authorized official on file is Troy Ketchum, PT, Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073124087 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 13, 2020 |
| Last updated in NPPES | Aug 17, 2020 |
| Certified by provider | Aug 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 (LA) |
|---|
Other Physical Therapist providers in Ruston
- 1255280202
- 1891794491
- 1912301128
- 1699212688
- 1972125045
- 1881252591
- 1942864582
- 1073060174
- 1538892203
- 1932820156
- 1083813042
- 1225984883