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Pegasus Physical Therapy LLC

NPI 1457771958ActiveOrganization· Physical Therapist, Orthopedic· Chicago, IL

Physical Therapist, Orthopedic in Chicago, Illinois, registered in NPPES in April 2014. The authorized official on file is Scott P. Johnson, PT, MPT, OCS, President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1457771958
StatusActive
Entity typeOrganization
NPI issuedApr 23, 2014
Last updated in NPPESApr 5, 2024
Certified by providerApr 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist, Orthopedic Primary2251X0800X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

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