Proformance Physical Therapy and Rehabilitation, Inc.
NPI 1538166079ActiveOrganization· Physical Therapist, Orthopedic· Los Angeles, CA
Physical Therapist, Orthopedic in Los Angeles, California, registered in NPPES in June 2005. The authorized official on file is Donald E. Nelson, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538166079 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2005 |
| Last updated in NPPES | Aug 26, 2020 |
| Certified by provider | Aug 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT21545 | CA |
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 - Clinic/Group Practice (CA) |
|---|
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