Summit Performance and Physical Therapy
NPI 1508798018ActiveOrganization· Physical Therapist· Brentwood, MO
Physical Therapist in Brentwood, Missouri, registered in NPPES in May 2026. The authorized official on file is Taylor Dettmann, DPT PT, Owner.
Overview
| NPI | 1508798018 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2026 |
| Last updated in NPPES | May 30, 2026 |
| Certified by provider | May 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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