Longview Physical and Sports Therapy Services Ps
NPI 1184835100ActiveOrganization· Physical Therapist· Longview, WA
Physical Therapist in Longview, Washington, registered in NPPES in May 2007. The authorized official on file is Bruce E. Peterson, PT, Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1184835100 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Jul 10, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | WA |
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) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (WA); Part B Supplier - Clinic/Group Practice (WA) |
|---|
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