Proactive Physical Therapy PC
NPI 1184814345ActiveOrganization· Physical Therapist· Pinedale, WY
Physical Therapist in Pinedale, Wyoming, registered in NPPES in July 2007. The authorized official on file is Susan M. Holz, DPT, Owner Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184814345 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WY) |
|---|
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