Concentra
NPI 1457778870ActiveOrganization· PACE Provider Organization· Davenport, IA
PACE Provider Organization in Davenport, Iowa, registered in NPPES in March 2014, part of Concentra. The authorized official on file is Tammy Renee Whitacre, Physical Therapist Assistant.
Overview
| NPI | 1457778870 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Concentra |
| NPI issued | Mar 24, 2014 |
| Last updated in NPPES | Mar 24, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | 01242 | IA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|