Connor McCullough
NPI 1346082021ActiveIndividual· Physical Therapist· Columbus, WI
Physical Therapist with Prairie Ridge Health Inc, practicing in Columbus, Wisconsin. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1346082021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 12, 2024 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 16816-24 | WI |
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 (WI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Prairie Ridge Health IncColumbus, WI · 70 clinicians
Other physical therapists in Columbus
- 1265984413
- 1639623689
- 1689920662
- 1851944078
- 1063363307
- 1215480520
- 1265884084
- 1689505786
- 1962052548
- 1659088946
- 1598210247
- 1669630315
All 23 physical therapists in Columbus · All physical therapists in Wisconsin