Advanced Therapy and Performance LLC
NPI 1518583038ActiveOrganization· Physical Therapist· Fort Wayne, IN
Physical Therapist in Fort Wayne, Indiana, registered in NPPES in June 2020. The authorized official on file is Emanuel Lucian Boar, PT, DPT, Owner - Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1518583038 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2020 |
| Last updated in NPPES | Jun 21, 2023 |
| Certified by provider | Jun 21, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 (IN) |
|---|
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All 376 physical therapists in Fort Wayne · All physical therapists in Indiana