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NPI 1174371181ActiveOrganization· Physical Therapy Assistant· West Bloomfield, MI
Physical Therapy Assistant in West Bloomfield, Michigan, registered in NPPES in May 2024. The authorized official on file is Melissa Burris, CNA, Owner.
Overview
| NPI | 1174371181 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2024 |
| Last updated in NPPES | May 7, 2024 |
| Certified by provider | May 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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