Pryme Physical Therapy & Sports Medicine LLC
NPI 1285345637ActiveOrganization· Physical Therapist· West Haven, CT
Physical Therapist in West Haven, Connecticut, registered in NPPES in December 2022. The authorized official on file is Michael Johnson, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1285345637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 7, 2022 |
| Last updated in NPPES | Mar 23, 2023 |
| Certified by provider | Mar 23, 2023 |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CT) |
|---|
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