Viverant, LLC
NPI 1104343300ActiveOrganization· Physical Therapist· Edina, MN
Physical Therapist in Edina, Minnesota, registered in NPPES in August 2017, part of Viverant PT LLC. The authorized official on file is Michael Lanham, Director.
Overview
| NPI | 1104343300 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Viverant PT LLC |
| NPI issued | Aug 28, 2017 |
| Last updated in NPPES | Jun 1, 2020 |
| Certified by provider | Jun 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
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 |
|---|
Other Physical Therapist providers in Edina
- 1811661747
- 1881307932
- 1841063872
- 1003231747
- 1750584777
- 1033115084
- 1629595947
- 1518207984
- 1164368684
- 1457608267
- 1093115925
- 1245452168