Damitz Physical Therapy LLC
NPI 1104519818ActiveOrganization· Physical Therapist· Kokomo, IN
Physical Therapist in Kokomo, Indiana, registered in NPPES in May 2023. The authorized official on file is Tyson Damitz, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1104519818 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2023 |
| Last updated in NPPES | May 30, 2023 |
| Certified by provider | May 30, 2023 |
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 (IN) |
|---|
Other physical therapists in Kokomo
- 1023830742
- 1043322365
- 1134231483
- 1134242951
- 1154569440
- 1205219888
- 1225329162
- 1235693300
- 1245843606
- 1356022818
- 1366096315
- 1396052288
All 84 physical therapists in Kokomo · All physical therapists in Indiana