Bear Lodge Rehabilitation Services, LLC
NPI 1558690099ActiveOrganization· Physical Therapist· Sundance, WY
Physical Therapist in Sundance, Wyoming, registered in NPPES in December 2009, part of North Platte Physical Therapy Services, Inc. The authorized official on file is Charles Mangus, PT, President. Enrolled in Medicare as part a provider - outpatient physical therapy/occupational therapy/speech pathology services and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1558690099 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | North Platte Physical Therapy Services, Inc |
| NPI issued | Dec 11, 2009 |
| Last updated in NPPES | Dec 11, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
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 Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services (WY); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (WY) |
|---|
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