Experience Physical Therapy LLC
NPI 1447877105ActiveOrganization· Physical Therapist· San Tan Valley, AZ
Physical Therapist in San Tan Valley, Arizona, registered in NPPES in June 2020. The authorized official on file is Blain R. Brooks, PT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1447877105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2020 |
| Last updated in NPPES | Jun 29, 2020 |
| Certified by provider | Jun 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AZ) |
|---|
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All 33 physical therapists in San Tan Valley · All physical therapists in Arizona