Performance Therapy, LLC
NPI 1427375724ActiveOrganization· Physical Therapist· Idaho Falls, ID
Physical Therapist in Idaho Falls, Idaho, registered in NPPES in April 2010. The authorized official on file is Stephanie Liddle, MPT, Owner/Manager. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.
Overview
| NPI | 1427375724 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 26, 2010 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT-954 | ID |
| Prosthetic/Orthotic Supplier | 335E00000X | DME14657 | ID |
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 DME Supplier - Independently-Practicing Physical Therapist (ID); Part B Supplier - Clinic/Group Practice (ID) |
|---|
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