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NPI 1134503584ActiveIndividual· Physical Therapist· Dover, DE

Physical Therapist with Ati Holdings, LLC, practicing in Dover, Delaware. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1134503584
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 15, 2015
Last updated in NPPESJul 15, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XJ1-0003124DE

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 (DE)

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Dover

All 127 physical therapists in Dover · All physical therapists in Delaware