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NPI 1114467131ActiveIndividual· Physical Therapist· Des Moines, IA

Physical Therapist in Des Moines, Iowa, trained at University of Iowa, Rj & L Carver College of Medicine (class of 2016). Medicare paid $17,489 for services to 18 patients in 2024.

Overview

NPI1114467131
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 24, 2017
Last updated in NPPESAug 17, 2022
Certified by providerAug 17, 2022

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (IA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients18
Services billed869 across 11 procedure codes
Paid by Medicare$17,489

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Iowa, Rj & L Carver College of Medicine
Graduation year2016
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Des Moines

All 219 physical therapists in Des Moines · All physical therapists in Iowa