Sports Physical Therapists of Fox Lake LLC
NPI 1548705544ActiveOrganization· Physical Therapist· Fox Lake, IL
Physical Therapist in Fox Lake, Illinois, registered in NPPES in December 2016. The authorized official on file is Carmelo D. Tenuta, PT, President / Ceo.
Overview
| NPI | 1548705544 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2016 |
| Last updated in NPPES | Jun 5, 2020 |
| Certified by provider | Jun 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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