Gage Kasperian
NPI 1588542302ActiveIndividual· Physical Therapy Assistant· Star, ID
Physical Therapy Assistant in Star, Idaho, licensed in ID and GA, with an NPI issued in August 2025.
Overview
| NPI | 1588542302 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 21, 2025 |
| Last updated in NPPES | Aug 21, 2025 |
| Certified by provider | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 8871462 | ID |
| Physical Therapy Assistant | 225200000X | PTA004864 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapy Assistant providers in Star
- 1770106502
- 1902785066