Innova Physical Therapy LLC
NPI 1497154504ActiveOrganization· Physical Therapist· Redmond, WA
Physical Therapist in Redmond, Washington, registered in NPPES in August 2014. The authorized official on file is Krista Hamar, Clinic Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497154504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2014 |
| Last updated in NPPES | Nov 11, 2020 |
| Certified by provider | Nov 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | WA |
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) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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