Ivyrehab Sept, LLC
NPI 1083155246ActiveOrganization· Physical Therapist· Charlottesville, VA
Physical Therapist in Charlottesville, Virginia, registered in NPPES in March 2017. The authorized official on file is Michael Rucker, Ceo. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1083155246 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2017 |
| Last updated in NPPES | Aug 12, 2022 |
| Certified by provider | Aug 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (VA) |
|---|
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