Country Club PT PA
NPI 1174830202ActiveOrganization· Physical Therapist· West Palm Beach, FL
Physical Therapist in West Palm Beach, Florida, registered in NPPES in September 2010. The authorized official on file is Bradley Nolin, MPT, Owner/Therapist.
Overview
| NPI | 1174830202 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 10, 2010 |
| Last updated in NPPES | Sep 18, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT20257 | FL |
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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