Enphysio LLC
NPI 1205530011ActiveOrganization· Physical Therapist· Mililani, HI
Physical Therapist in Mililani, Hawaii, registered in NPPES in March 2023. The authorized official on file is Tanner Crass, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205530011 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 27, 2023 |
| Last updated in NPPES | Mar 27, 2023 |
| Certified by provider | Mar 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Clinic/Group Practice (HI) |
|---|
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