Body & Soul Mfr Therapy LLC
NPI 1376287896ActiveOrganization· Occupational Therapist· Green Bay, WI
Occupational Therapist in Green Bay, Wisconsin, registered in NPPES in April 2022, part of Body & Soul Mfr Therapy LLC. The authorized official on file is Yvonne Vander Heiden, COTA, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376287896 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Body & Soul Mfr Therapy LLC |
| NPI issued | Apr 21, 2022 |
| Last updated in NPPES | Jan 2, 2024 |
| Certified by provider | Jan 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
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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