Michael Victor Nowack, D.P.T
NPI 1407940497ActiveIndividual· Physical Therapist· Spirit Lake, ID
Physical Therapist (D.P.T) with Summit Rehabilitation Associates, PLLC, practicing in Spirit Lake, Idaho. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1407940497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.T |
| Sole proprietor | No |
| NPI issued | Oct 3, 2006 |
| Last updated in NPPES | Nov 30, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00009579 | WA |
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 Practitioner - Physical Therapist in Private Practice (WA) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Summit Rehabilitation Associates, PLLCSpokane, WA · 33 clinicians
Other Physical Therapist providers in Spirit Lake
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- 1962243063
- 1508109331