Wild Physical Therapy and Wellness LLC
NPI 1174360176ActiveOrganization· Physical Therapist· Pawtucket, RI
Physical Therapist in Pawtucket, Rhode Island, registered in NPPES in July 2024. The authorized official on file is Mollye Leas-Medrek, DPT, Owner.
Overview
| NPI | 1174360176 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 9, 2024 |
| Last updated in NPPES | Jul 9, 2024 |
| Certified by provider | Jul 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 118 physical therapists in Pawtucket · All physical therapists in Rhode Island