Eagle Creek Chiropractic
NPI 1073847554ActiveOrganization· Physical Therapist· Prior Lake, MN
Physical Therapist in Prior Lake, Minnesota, registered in NPPES in September 2009, part of Eagle Creek Chiropractic. The authorized official on file is Jenna Kanitz, Office Manager.
Overview
| NPI | 1073847554 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eagle Creek Chiropractic |
| NPI issued | Sep 30, 2009 |
| Last updated in NPPES | Sep 30, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6755 | MN |
| Physical Therapist | 225100000X | 5996 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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