Active Life Physical Therapy, LLC
NPI 1598818262ActiveOrganization· Physical Therapist· Port Ludlow, WA
Physical Therapist in Port Ludlow, Washington, registered in NPPES in January 2007. The authorized official on file is Michael Andre Haberpointner, M.P.T., Physical Therapist, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1598818262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT00009409 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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