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Dothan Therapy Associates Inc

NPI 1477647816ActiveOrganization· Physical Therapist· Dothan, AL

Physical Therapist in Dothan, Alabama, registered in NPPES in October 2006, part of Dothan Therapy Associates Inc. The authorized official on file is Charles Outlaw, PT, Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - clinic/group practice.

Overview

NPI1477647816
StatusActive
Entity typeOrganization (subpart)
Parent organizationDothan Therapy Associates Inc
NPI issuedOct 2, 2006
Last updated in NPPESSep 27, 2022
Certified by providerSep 27, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

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 DME Supplier - Independently-Practicing Physical Therapist (AL); Part B Supplier - Clinic/Group Practice (AL)

Medicare sources and data years

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