Highline Physical Therapy Group
NPI 1255147336ActiveOrganization· Physical Therapist· Bonney Lake, WA
Physical Therapist in Bonney Lake, Washington, registered in NPPES in December 2024. The authorized official on file is Robert Pace, Coo. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1255147336 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2024 |
| Last updated in NPPES | Dec 4, 2024 |
| Certified by provider | Dec 4, 2024 |
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 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) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (WA) |
|---|
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