Wave Physical Therapy LLC
NPI 1346859881ActiveOrganization· Physical Therapist· Summerville, SC
Physical Therapist in Summerville, South Carolina, registered in NPPES in July 2020. The authorized official on file is Jonathan David Blackwell, MSPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1346859881 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2020 |
| Last updated in NPPES | Jul 30, 2020 |
| Certified by provider | Jul 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (SC) |
|---|
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