Mastercare Physical Therapy and Wellness Center LLC
NPI 1073863874ActiveOrganization· Physical Therapist· Waterford, MI
Physical Therapist in Waterford, Michigan, registered in NPPES in September 2012. The authorized official on file is Susan Johnson, PT, Owner.
Overview
| NPI | 1073863874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2012 |
| Last updated in NPPES | Sep 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501300653 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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