Big Country Rehabilitation,llc
NPI 1366493264ActiveOrganization· Physical Therapist· Douglas, WY
Physical Therapist in Douglas, Wyoming, registered in NPPES in May 2006. The authorized official on file is Lisa Mangus, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366493264 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2006 |
| Last updated in NPPES | Nov 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (WY) |
|---|
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