West Des Moines Physical Therapy and Sports Rehabilitation, PLLC
NPI 1073875779ActiveOrganization· Physical Therapist· West Des Moines, IA
Physical Therapist in West Des Moines, Iowa, registered in NPPES in June 2012. The authorized official on file is Brian Shellenberger, D.P.T., President.
Overview
| NPI | 1073875779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2012 |
| Last updated in NPPES | Jun 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4657 | IA |
| Physical Therapist | 225100000X | 4589 | IA |
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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