Active Physical Therapy and Wellness PC
NPI 1205869880ActiveOrganization· Physical Therapist· Flint, MI
Physical Therapist in Flint, Michigan, registered in NPPES in July 2006. The authorized official on file is Ricky John Bastarache, DPT, President.
Overview
| NPI | 1205869880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 8, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501007536 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Flint
- 1669852893
- 1851629125
- 1801575881
- 1194906719
- 1326436817
- 1538243357
- 1215353909
- 1871544577
- 1548664469
- 1700960051
- 1376775122
- 1376987222