Avant-Garde LLC
NPI 1164935664ActiveOrganization· Physical Therapist· Orem, UT
Physical Therapist in Orem, Utah, registered in NPPES in November 2017. The authorized official on file is Brock Larson Roberts, Managing Director.
Overview
| NPI | 1164935664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 7, 2017 |
| Last updated in NPPES | Nov 7, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Chiropractor | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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