Diagnostic Clinic Medical Group, PA
NPI 1073517090ActiveOrganization· Physical Therapist· Largo, FL
Physical Therapist in Largo, Florida, registered in NPPES in June 2005. The authorized official on file is Michael A.M. Bosman, P.T., Consultant.
Overview
| NPI | 1073517090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 8, 2005 |
| Last updated in NPPES | Nov 25, 2020 |
| Certified by provider | Nov 25, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 15206 | FL |
| Social Worker | 104100000X | SW7076 | FL |
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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