Bayshore Hand Rehabilitation
NPI 1205681509ActiveOrganization· Clinic/Center· Traverse City, MI
Clinic/Center in Traverse City, Michigan, registered in NPPES in April 2024. The authorized official on file is Nichole Roost, OTRL, CHT, Otrl, Cht, Owner. Enrolled in Medicare as dme supplier - independently-practicing occupational therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1205681509 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2024 |
| Last updated in NPPES | Apr 19, 2024 |
| Certified by provider | Apr 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
| Durable Medical Equipment & Medical Supplies, Customized Equipment | 332BC3200X | — | — |
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 DME Supplier - Independently-Practicing Occupational Therapist (MI); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MI) |
|---|
Other Clinic/Center providers in Traverse City
- 1801083951
- 1629495684
- 1801881461
- 1407521909
- 1417481136
- 1295275923
- 1851856272
- 1760778070