Live Well Center
NPI 1477925998ActiveOrganization· Physical Therapist· Brainerd, MN
Physical Therapist in Brainerd, Minnesota, registered in NPPES in October 2015, part of Live Well Center. The authorized official on file is James Davis, Owner.
Overview
| NPI | 1477925998 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Live Well Center |
| NPI issued | Oct 23, 2015 |
| Last updated in NPPES | Oct 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6654 | MN |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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