Southshore Physical Therapy PLLC
NPI 1134874654ActiveOrganization· Physical Therapist· Hazen, ND
Physical Therapist in Hazen, North Dakota, registered in NPPES in February 2022. The authorized official on file is Nicholas Miller, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1134874654 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2022 |
| Last updated in NPPES | Feb 14, 2022 |
| Certified by provider | Feb 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ND) |
|---|
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