Micah Daniel Frey, PT
NPI 1518241348ActiveIndividual· Physical Therapist· West Linn, OR
Physical Therapist (PT) with Active Edge Physical Therapy and Sports Medicine P.C., practicing in West Linn, Oregon. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1518241348 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Sep 28, 2011 |
| Last updated in NPPES | Sep 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 6623 | OR |
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 Practitioner - Physical Therapist in Private Practice (OR) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Active Edge Physical Therapy and Sports Medicine P.C.West Linn, OR · 9 clinicians
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