Physical Therapy Center, LLC
NPI 1174867915ActiveOrganization· Clinic/Center, Physical Therapy· Las Vegas, NM
Clinic/Center, Physical Therapy in Las Vegas, New Mexico, registered in NPPES in November 2012. The authorized official on file is Logan Arden Kanode, DPT, Owner.
Overview
| NPI | 1174867915 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2012 |
| Last updated in NPPES | Jun 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | 4234 | NM |
| Physical Therapist | 225100000X | 4234 | NM |
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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