Proliance Surgeons Inc., P.S.
NPI 1417990888ActiveOrganization· Physical Therapist· Kent, WA
Physical Therapist in Kent, Washington, registered in NPPES in June 2006, part of Proliance Surgeons Inc., P.S. The authorized official on file is David G. Fitzgerald, Ceo.
Overview
| NPI | 1417990888 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Proliance Surgeons Inc., P.S. |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Aug 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 601484763 | WA |
| Occupational Therapist | 225X00000X | 601484763 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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