Nathanael Owen Bungard, DPT
NPI 1558192575ActiveIndividual· Physical Therapist· Belle Vernon, PA
Physical Therapist (DPT) with Elite Physical Therapy and Wellness LLC, practicing in Belle Vernon, Pennsylvania. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1558192575 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Aug 12, 2024 |
| Last updated in NPPES | Sep 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT032461 | PA |
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 Practitioner - Physical Therapist in Private Practice (PA) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Elite Physical Therapy and Wellness LLCRostraver Twp, PA · 5 clinicians
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All 19 physical therapists in Belle Vernon · All physical therapists in Pennsylvania