Source Therapy Solutions PLLC
NPI 1194061309ActiveOrganization· Physical Therapist· Malvern, AR
Physical Therapist in Malvern, Arkansas, registered in NPPES in December 2012. The authorized official on file is Michael Robert Schoultz, PT, DPT, Owner, Chief Manager, Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1194061309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2012 |
| Last updated in NPPES | Jan 25, 2021 |
| Certified by provider | Jan 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT3097 | AR |
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 - Physical/Occupational Therapy Group in Private Practice (AR) |
|---|
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