Koth Sports Physical Therapy, PA
NPI 1265524045ActiveOrganization· Physical Therapist· Ketchum, ID
Physical Therapist in Ketchum, Idaho, registered in NPPES in September 2006. The authorized official on file is Sherri L. Koth, Its Secretary/Treasurer, Its Bus Mg.
Overview
| NPI | 1265524045 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2006 |
| Last updated in NPPES | Jan 21, 2014 |
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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