Pac PT LLC
NPI 1619391166ActiveOrganization· Physical Therapist· Mandeville, LA
Physical Therapist in Mandeville, Louisiana, registered in NPPES in February 2014. The authorized official on file is David McWilliams, Pt. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1619391166 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2014 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
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 (LA) |
|---|
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