Moshe R. Bantasan
NPI 1326585597ActiveIndividual· Occupational Therapist· Springfield, VA
Occupational Therapist with Powerback Rehabilitation LLC and 1 other group, practicing in Springfield, Virginia. Enrolled in Medicare as practitioner - occupational therapist in private practice and practitioner - occupational therapist in private practice.
Overview
| NPI | 1326585597 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2017 |
| Last updated in NPPES | Nov 3, 2025 |
| Certified by provider | Nov 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 0119005124 | VA |
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 - Occupational Therapist in Private Practice (DC); Practitioner - Occupational Therapist in Private Practice (VA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical groups
- Powerback Rehabilitation LLCJackson, MI · 649 clinicians
- Functional Pathways Preferred of Tennessee LLCNorthbrook, IL · 196 clinicians
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