Benchmark Physical Therapy of Nc, LLC
NPI 1588189112ActiveOrganization· Physical Therapist· Leland, NC
Physical Therapist in Leland, North Carolina, registered in NPPES in August 2017. The authorized official on file is Kevin Johanneson, Vp Revenue Cycle. Enrolled in Medicare as dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1588189112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2017 |
| Last updated in NPPES | Aug 4, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
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 DME Supplier - Independently-Practicing Physical Therapist (NC) |
|---|
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