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NPI 1295157931ActiveOrganization· Physical Therapist· Johns Creek, GA

Physical Therapist in Johns Creek, Georgia, registered in NPPES in January 2014. The authorized official on file is Sandi Ecclestone, MS PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1295157931
StatusActive
Entity typeOrganization
NPI issuedJan 15, 2014
Last updated in NPPESJan 15, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other Physical Therapist providers in Johns Creek

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