Eden Rehab LLC
NPI 1558664250ActiveOrganization· Physical Therapy Assistant· Brandon, MS
Physical Therapy Assistant in Brandon, Mississippi, registered in NPPES in December 2010. The authorized official on file is Kenneth J. Riche, PTA, Member.
Overview
| NPI | 1558664250 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2010 |
| Last updated in NPPES | Dec 19, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | PTA2491 | MS |
| Occupational Therapy Assistant | 224Z00000X | TA1991 | MS |
| Occupational Therapy Assistant | 224Z00000X | TA2342 | MS |
| Physical Therapy Assistant | 225200000X | PTA2698 | MS |
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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