Country Club PT PA
NPI 1578928420ActiveOrganization· Physical Therapist, Geriatrics· Venice, FL
Physical Therapist, Geriatrics in Venice, Florida, registered in NPPES in December 2015. The authorized official on file is Lisa Corn, Office Manager.
Overview
| NPI | 1578928420 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2015 |
| Last updated in NPPES | Dec 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | PT21464 | FL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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