Great Basin Physical Therapy and Performance Center
NPI 1366769234ActiveOrganization· Physical Therapist· Minden, NV
Physical Therapist in Minden, Nevada, registered in NPPES in April 2010. The authorized official on file is Ashwin T. Datt, PT, Sole Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366769234 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 30, 2010 |
| Last updated in NPPES | Sep 3, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2193 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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