Wyatt Blue, MS, LAT, ATC, CSCS
NPI 1346583754ActiveIndividual· Contractor· Cardiff By The Sea, CA
Contractor (MS, LAT, ATC, CSCS) in Cardiff By The Sea, California, licensed in NV, with an NPI issued in April 2013.
Overview
| NPI | 1346583754 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, LAT, ATC, CSCS |
| Sole proprietor | Yes |
| NPI issued | Apr 3, 2013 |
| Last updated in NPPES | Jan 16, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 0506246 | NV |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|