Khadesha Quammie
NPI 1316662992ActiveIndividual· Physical Therapist· St Simons Is, GA
Physical Therapist in St Simons Is, Georgia, licensed in GA, with an NPI issued in October 2022. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1316662992 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 6, 2022 |
| Last updated in NPPES | Oct 28, 2022 |
| Certified by provider | Oct 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT015644 | GA |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
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