Providence Physical Therapy
NPI 1124416912ActiveOrganization· Physical Therapist· Southfield, MI
Physical Therapist in Southfield, Michigan, registered in NPPES in December 2014. The authorized official on file is Amena Saad, Credentialer.
Overview
| NPI | 1124416912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2014 |
| Last updated in NPPES | Dec 31, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | HR014291 | MI |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 253 physical therapists in Southfield · All physical therapists in Michigan