Wyatt Bradley Amdahl, PT, DPT
NPI 1336964477ActiveIndividual· Physical Therapist· Bottineau, ND
Physical Therapist (PT, DPT) with S.A.C. Physical Therapy PC, practicing in Bottineau, North Dakota. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1336964477 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | Yes |
| NPI issued | Nov 21, 2024 |
| Last updated in NPPES | Nov 21, 2024 |
| Certified by provider | Nov 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
| Telehealth | Offers telehealth |
Medical group
- S.A.C. Physical Therapy PCYuba City, CA · 6 clinicians
Other Physical Therapist providers in Bottineau
- 1730380569
- 1497138796