Mindful Motion Physical Therapy, LLC
NPI 1366716987ActiveOrganization· Physical Therapist· Madison, WI
Physical Therapist in Madison, Wisconsin, registered in NPPES in February 2012. The authorized official on file is Nathan Dufault, LAT, Licensed Athletic Trainer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366716987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 29, 2012 |
| Last updated in NPPES | Oct 27, 2026 |
| Certified by provider | Oct 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 11909-24 | WI |
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 - Clinic/Group Practice (WI) |
|---|
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