Direct PT LLC
NPI 1477391365ActiveOrganization· Physical Therapist· Woodstock, GA
Physical Therapist in Woodstock, Georgia, registered in NPPES in July 2024. The authorized official on file is Brent Davis, Managing Member/Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1477391365 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2024 |
| Last updated in NPPES | Jul 16, 2024 |
| Certified by provider | Jul 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (GA) |
|---|
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