Vitam PLLC
NPI 1619316460ActiveOrganization· Physical Therapist, Orthopedic· Boise, ID
Physical Therapist, Orthopedic in Boise, Idaho, registered in NPPES in June 2013. The authorized official on file is Kathy Marie Berg, DPT,MS,CSCS, FAFS, Owner.
Overview
| NPI | 1619316460 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2013 |
| Last updated in NPPES | Jun 4, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Orthopedic Primary | 2251X0800X | PT-2717 | ID |
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 |
|---|
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