K4jpc
NPI 1538348545ActiveOrganization· Physical Therapist· Great Falls, MT
Physical Therapist in Great Falls, Montana, registered in NPPES in October 2007. The authorized official on file is Shawn Green, Business Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538348545 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 25, 2007 |
| Last updated in NPPES | Oct 25, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 591 | MT |
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 (MT) |
|---|
Other Physical Therapist providers in Great Falls
- 1750530515
- 1215860598
- 1801073929
- 1558485821
- 1639150956
- 1669680088
- 1790306892
- 1578796918
- 1124180468
- 1447451778
- 1144826306
- 1114837812