Livevital Physical Therapy & Performance
NPI 1417288747ActiveOrganization· Physical Therapist· Portland, ME
Physical Therapist in Portland, Maine, registered in NPPES in January 2010. The authorized official on file is David T. Knop, PT, Owner/President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1417288747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2010 |
| Last updated in NPPES | Jan 27, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 - Physical/Occupational Therapy Group in Private Practice (ME) |
|---|
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