Brett Qualls, PT
NPI 1215105630ActiveIndividual· Physical Therapist· Lake Havasu City, AZ
Physical Therapist (PT) in Lake Havasu City, Arizona, licensed in AZ, CA and NV, with an NPI issued in February 2008. Medicare paid $103,041 for services to 271 patients in 2024.
Overview
| NPI | 1215105630 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | Feb 19, 2008 |
| Last updated in NPPES | Mar 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 9575 | AZ |
| Physical Therapist | 225100000X | 34485 | CA |
| Physical Therapist | 225100000X | 2594 | NV |
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 Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 271 |
|---|---|
| Services billed | 5,925 across 9 procedure codes |
| Paid by Medicare | $103,041 |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 34 physical therapists in Lake Havasu City · All physical therapists in Arizona