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Golden Inning

NPI 1518606128ActiveOrganization· Physical Therapist· Grand Rapids, MI

Physical Therapist in Grand Rapids, Michigan, registered in NPPES in June 2022. The authorized official on file is Ravikumar Shukla, PHYSICAL THERAPIST, Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1518606128
StatusActive
Entity typeOrganization
NPI issuedJun 1, 2022
Last updated in NPPESJun 4, 2022
Certified by providerJun 4, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No 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 (MI)

Medicare sources and data years

Other Physical Therapist providers in Grand Rapids

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