Main Line Physical Therapy LLC
NPI 1588873558ActiveOrganization· Physical Therapist· Wayne, PA
Physical Therapist in Wayne, Pennsylvania, registered in NPPES in May 2007, part of Main Line Physical Therapy LLC. The authorized official on file is Theodore R. Ellis, PT, Member.
Overview
| NPI | 1588873558 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Main Line Physical Therapy LLC |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Jun 30, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PA008710-E | PA |
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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