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Keith Boddie, PT

NPI 1396079547ActiveIndividual· Physical Therapist· Monroe, GA

Physical Therapist (PT) in Monroe, Georgia, licensed in GA, with an NPI issued in September 2009.

Overview

NPI1396079547
StatusActive
Entity typeIndividual
CredentialPT
Sole proprietorNo
NPI issuedSep 21, 2009
Last updated in NPPESSep 21, 2009

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X9763GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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