Dynamic Spine & Sport Rehabilitation LLC
NPI 1386871630ActiveOrganization· Occupational Therapist, Physical Rehabilitation· Las Vegas, NV
Occupational Therapist, Physical Rehabilitation in Las Vegas, Nevada, registered in NPPES in June 2009. The authorized official on file is Joe Indrieri, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1386871630 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2009 |
| Last updated in NPPES | Feb 25, 2026 |
| Certified by provider | Feb 25, 2026 |
| Reactivated | Dec 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Physical Rehabilitation Primary | 225XP0019X | — | — |
| Physical Therapist | 225100000X | 1815 | NV |
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 - Physical/Occupational Therapy Group in Private Practice (NV) |
|---|
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