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Advanced Therapy Group, LLC

NPI 1326391137ActiveOrganization· Physical Therapist· Traverse City, MI

Physical Therapist in Traverse City, Michigan, registered in NPPES in October 2012. The authorized official on file is Sara Devaun, DPT, Therapist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1326391137
StatusActive
Entity typeOrganization
NPI issuedOct 17, 2012
Last updated in NPPESDec 31, 2024
Certified by providerDec 31, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——
Physical Therapist, Human Factors2251H1300X——
Physical Therapist, Neurology2251N0400X——
Physical Therapist, Orthopedic2251X0800X——
Physical Therapy Assistant225200000X——
Occupational Therapist225X00000X——
Occupational Therapist, Environmental Modification225XE0001X——
Occupational Therapist, Ergonomics225XE1200X——
Occupational Therapist, Hand225XH1200X——
Occupational Therapist, Human Factors225XH1300X——
Occupational Therapist, Low Vision225XL0004X——
Occupational Therapist, Mental Health225XM0800X——
Occupational Therapist, Neurorehabilitation225XN1300X——
Occupational Therapist, Physical Rehabilitation225XP0019X——
Clinic/Center, Physical Therapy261QP2000X——

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 (MI)

Medicare sources and data years

Other Physical Therapist providers in Traverse City

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