Canyon Lake Physical Therapy LLC
NPI 1255945044ActiveOrganization· Clinic/Center, Physical Therapy· Las Vegas, NV
Clinic/Center, Physical Therapy in Las Vegas, Nevada, registered in NPPES in August 2020. The authorized official on file is Eric Klein, DPT, Physical Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255945044 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2020 |
| Last updated in NPPES | Sep 28, 2020 |
| Certified by provider | Sep 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Physical Therapy Primary | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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