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Spry Physical Therapy and Geriatric Wellness, PLLC

NPI 1497383673ActiveOrganization· Physical Therapist· Ottawa, IL

Physical Therapist in Ottawa, Illinois, registered in NPPES in April 2020. The authorized official on file is Lindsey Rae Nordstrom, Owner/Manager Of Pllc. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1497383673
StatusActive
Entity typeOrganization
NPI issuedApr 1, 2020
Last updated in NPPESJul 14, 2020
Certified by providerJul 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

Other physical therapists in Ottawa

All 28 physical therapists in Ottawa · All physical therapists in Illinois