Summit Physical & Sports Therapy Green River, LLC
NPI 1245608603ActiveOrganization· Physical Therapist· Green River, WY
Physical Therapist in Green River, Wyoming, registered in NPPES in September 2015. The authorized official on file is Kristopher S. Nelson, MPT, Physical Therapist/Owner.
Overview
| NPI | 1245608603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 2, 2015 |
| Last updated in NPPES | Sep 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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