Summit Physical Therapy Services,llc
NPI 1588980247ActiveOrganization· Physical Therapist· Waterloo, IL
Physical Therapist in Waterloo, Illinois, registered in NPPES in April 2010. The authorized official on file is Richard J. Fleming, PT, Owner/President. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1588980247 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2010 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
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 B Supplier - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
Other physical therapists in Waterloo
- 1023614401
- 1053700229
- 1275500431
- 1851830236
- 1912373903
- 1063306447
- 1073247573
- 1851265623
- 1669742813
- 1427241116
- 1356698609
- 1194668483
All 17 physical therapists in Waterloo · All physical therapists in Illinois