Premier Rehabilitation
NPI 1306244066ActiveOrganization· Physical Therapist· Holt, MI
Physical Therapist in Holt, Michigan, registered in NPPES in December 2014. The authorized official on file is Tyler Wilson, Member/Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1306244066 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 11, 2014 |
| Last updated in NPPES | Mar 3, 2021 |
| Certified by provider | Mar 3, 2021 |
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 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 - Physical/Occupational Therapy Group in Private Practice (MI) |
|---|
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