Canon City Physiotherapy Inc
NPI 1154477065ActiveOrganization· Physical Therapist· Canon City, CO
Physical Therapist in Canon City, Colorado, registered in NPPES in January 2007. The authorized official on file is Paul Wayne Paschall, P.T., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154477065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 25, 2007 |
| Last updated in NPPES | Jul 13, 2022 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5795 | CO |
| Physical Therapist | 225100000X | 6141 | CO |
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 - Clinic/Group Practice (CO) |
|---|
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