Ideal Therapy, LLC
NPI 1558508580ActiveOrganization· Physical Therapist· Fayetteville, GA
Physical Therapist in Fayetteville, Georgia, registered in NPPES in January 2009. The authorized official on file is Corlette Alexis Luke-Cambridge, PT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558508580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2009 |
| Last updated in NPPES | Feb 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT008318 | GA |
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 (GA) |
|---|
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