Current Physical Therapy Meridian
NPI 1508647900ActiveOrganization· Physical Therapy Assistant· Meridian, ID
Physical Therapy Assistant in Meridian, Idaho, registered in NPPES in October 2023. The authorized official on file is Nicholas Cole Hartley, DPT, Member. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1508647900 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2023 |
| Last updated in NPPES | Oct 11, 2023 |
| Certified by provider | Oct 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | — | — |
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 - Physical/Occupational Therapy Group in Private Practice (ID) |
|---|
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