Ksr Performance Physical Therapy LLC
NPI 1083222376ActiveOrganization· Physical Therapist· Franklin, WI
Physical Therapist in Franklin, Wisconsin, registered in NPPES in July 2020. The authorized official on file is Kristen Russo, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1083222376 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 22, 2020 |
| Last updated in NPPES | Jul 29, 2020 |
| Certified by provider | Jul 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (WI) |
|---|
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