Fairway Physical Therapy LLC
NPI 1376557090ActiveOrganization· Physical Therapist· Palm Beach Gardens, FL
Physical Therapist in Palm Beach Gardens, Florida, registered in NPPES in July 2006. The authorized official on file is Lori A. Shumaker, Director Of Operations. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services and part b supplier - clinic/group practice.
Overview
| NPI | 1376557090 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2006 |
| Last updated in NPPES | Aug 7, 2023 |
| Certified by provider | Aug 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT9631 | FL |
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 A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (FL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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